Steroid responsive catatonia: A case of Hashimoto’s encephalopathy
Steroid responsive catatonia: A case of Hashimoto’s encephalopathy
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类固醇反应性紧张症：桥本脑病一例
DOI：
10.4103/aomd.aomd_32_19
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发表时间：
2020
影响因子：
--
通讯作者：
Niraj Kumar
中科院分区：
文献类型：
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作者：
R. Shree;G. Madhaw;R. Manchanda;Divya Radhakrishnan;Niraj Kumar
桥本脑病(HE)通常表现为两种类型的神经表现：反复发作的卒中样发作或癫痫和进行性认知能力下降。作为一种可以治疗的疾病，一个人不能错过诊断。我们报告一位患有HE的女性患者，她有反复发作紧张症的病史，经类固醇治疗后完全恢复。原发病的诊断被推迟了5个月。他表现为紧张症的报道很少。在适当的临床环境中高度怀疑，导致早期诊断，是有益的，因为HE通常对皮质类固醇表现出良好的反应。
Hashimoto’s encephalopathy (HE) commonly presents with two types of neurological presentation: recurrent stroke-like episodes or seizures and progressive cognitive decline. Being a treatable disorder, one cannot afford to miss the diagnosis. We report a female with HE who presented with a history of recurrent episodes of catatonia, recovering completely with steroids. The diagnosis of the primary disease got delayed for 5 months. HE presenting as catatonia has been reported rarely. A high degree of suspicion in appropriate clinical settings, resulting in early diagnosis, is rewarding as HE usually show good response to corticosteroids.