J Korean Neurol Assoc.  2015 Aug;33(3):213-216. 10.17340/jkna.2015.3.15.

Hashimoto's Encephalopathy Presented with Nonspecific Vasogenic Edema in Brain Magnetic Resonance Imaging

Affiliations
  • 1Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea. sss331@eulji.ac.kr

Abstract

Hashimoto's encephalopathy (HE) is a rare autoimmune disorder characterized by a nonspecific encephalopathy with high titers of serum anti-thyroid antibody in the absence of other defined causes. A 54-year-old woman was admitted due to recurrent seizures and confusion. Her serum anti-thyroid antibody level was elevated, and brain MRI showed multiple instances of vasogenic edema. Her symptoms disappeared after treatment with high-dose steroids and antiepileptic drugs. We propose that HE should be considered in the differential diagnosis of multiple vasogenic edema on brain imaging.

Keyword

Hashimoto's encephalopathy; Nonspecific vasogenic edema; Brain magnetic resonance imaging

MeSH Terms

Anticonvulsants
Brain*
Diagnosis, Differential
Edema*
Female
Humans
Magnetic Resonance Imaging*
Middle Aged
Neuroimaging
Seizures
Steroids
Anticonvulsants
Steroids
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