Steroid-Responsive Encephalopathy Associated with Thyroiditis (SREAT): A Case Report of Saving a Young Female Life
Hashimoto’s encephalopathy (HE), a rare autoimmune disorder associated with thyroiditis, is a condition with no definitive cause. Symptoms include altered mental status, seizures, and cognitive impairment. When diagnostic criteria are met, steroids are the cornerstone of treatment with a reported go...
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Knowledge E
2023-08-01
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| Series: | Dubai Medical Journal |
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| author | Abdelrahman Mahmoud Senosy |
| author_facet | Abdelrahman Mahmoud Senosy |
| author_sort | Abdelrahman Mahmoud Senosy |
| collection | DOAJ |
| description | Hashimoto’s encephalopathy (HE), a rare autoimmune disorder associated with thyroiditis, is a condition with no definitive cause. Symptoms include altered mental status, seizures, and cognitive impairment. When diagnostic criteria are met, steroids are the cornerstone of treatment with a reported good response. This report presents a 26-year-old female with HE who presented with persistent status epilepticus and altered mental status, complicated by aspiration pneumonia and laryngeal edema, and had been managed successfully. After exclusion of the common causes of acute altered mental status and seizures, early workup for treatable rare causes such as HE can help rapid recovery and avoid complications. However, proper management of complications such as lower respiratory tract infection, if happened, is necessary for good outcome. |
| format | Article |
| id | doaj-art-4d7902d3e5a04a7da50887b9de42f07b |
| institution | Kabale University |
| issn | 2571-726X |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Dubai Medical Journal |
| spelling | doaj-art-4d7902d3e5a04a7da50887b9de42f07b2025-01-02T23:47:28ZengKnowledge EDubai Medical Journal2571-726X2023-08-011610.1159/000531513531513Steroid-Responsive Encephalopathy Associated with Thyroiditis (SREAT): A Case Report of Saving a Young Female LifeAbdelrahman Mahmoud Senosy0https://orcid.org/0000-0002-6408-195XIntensive Care Medicine, Faculty of Medicine, Ain-Shams University, Cairo, EgyptHashimoto’s encephalopathy (HE), a rare autoimmune disorder associated with thyroiditis, is a condition with no definitive cause. Symptoms include altered mental status, seizures, and cognitive impairment. When diagnostic criteria are met, steroids are the cornerstone of treatment with a reported good response. This report presents a 26-year-old female with HE who presented with persistent status epilepticus and altered mental status, complicated by aspiration pneumonia and laryngeal edema, and had been managed successfully. After exclusion of the common causes of acute altered mental status and seizures, early workup for treatable rare causes such as HE can help rapid recovery and avoid complications. However, proper management of complications such as lower respiratory tract infection, if happened, is necessary for good outcome.https://beta.karger.com/Article/FullText/531513steroid-responsive encephalopathy associated with thyroiditishashimoto’s encephalopathysteroid-responsive encephalopathycase report |
| spellingShingle | Abdelrahman Mahmoud Senosy Steroid-Responsive Encephalopathy Associated with Thyroiditis (SREAT): A Case Report of Saving a Young Female Life Dubai Medical Journal steroid-responsive encephalopathy associated with thyroiditis hashimoto’s encephalopathy steroid-responsive encephalopathy case report |
| title | Steroid-Responsive Encephalopathy Associated with Thyroiditis (SREAT): A Case Report of Saving a Young Female Life |
| title_full | Steroid-Responsive Encephalopathy Associated with Thyroiditis (SREAT): A Case Report of Saving a Young Female Life |
| title_fullStr | Steroid-Responsive Encephalopathy Associated with Thyroiditis (SREAT): A Case Report of Saving a Young Female Life |
| title_full_unstemmed | Steroid-Responsive Encephalopathy Associated with Thyroiditis (SREAT): A Case Report of Saving a Young Female Life |
| title_short | Steroid-Responsive Encephalopathy Associated with Thyroiditis (SREAT): A Case Report of Saving a Young Female Life |
| title_sort | steroid responsive encephalopathy associated with thyroiditis sreat a case report of saving a young female life |
| topic | steroid-responsive encephalopathy associated with thyroiditis hashimoto’s encephalopathy steroid-responsive encephalopathy case report |
| url | https://beta.karger.com/Article/FullText/531513 |
| work_keys_str_mv | AT abdelrahmanmahmoudsenosy steroidresponsiveencephalopathyassociatedwiththyroiditissreatacasereportofsavingayoungfemalelife |