The Third Time's the Charm

Sara Mekuria; Esteban Cheng Ching; S. A. Josephson; Jinny Tavee; Brian J. Harte

doi:10.1002/9781118483206.ch8

The Third Time's the Charm

Sara Mekuria^*, Esteban Cheng Ching, S. A. Josephson, Jinny Tavee, Brian J. Harte

^*Corresponding author for this work

Neurology

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Hashimoto's encephalopathy (HE) is an uncommon condition that can present with a rapidly progressive decline and should be considered in patients who present with recurrent mental status changes in the setting of normal imaging studies and routine laboratory results. The entity, in the most recent terminology, is known as steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT). It is characterized by an acute or subacute encephalopathy associated with thyroid autoimmunity. Patients typically present with fluctuating symptoms, episodes of confusion, alterations of consciousness, and rapid cognitive decline. Different approaches to the treatment of HE have been recommended. As the acronym SREAT suggests, patients typically respond dramatically to high-dose steroid therapy.

Original language	English (US)
Title of host publication	Clinical Care Conundrums
Subtitle of host publication	Challenging Diagnoses in Hospital Medicine
Publisher	John Wiley and Sons
Pages	59-67
Number of pages	9
ISBN (Print)	9780470905654
DOIs	https://doi.org/10.1002/9781118483206.ch8
State	Published - Mar 21 2013

Keywords

Autoimmune encephalopathies
Cognitive deterioration
Corticosteroids
Hashimoto's encephalopathy (HE)
Steroid-responsive encephalopathy associated with autoimmune thyroiditis
Thyroid autoimmunity

ASJC Scopus subject areas

Medicine(all)

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10.1002/9781118483206.ch8

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abstract = "Hashimoto's encephalopathy (HE) is an uncommon condition that can present with a rapidly progressive decline and should be considered in patients who present with recurrent mental status changes in the setting of normal imaging studies and routine laboratory results. The entity, in the most recent terminology, is known as steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT). It is characterized by an acute or subacute encephalopathy associated with thyroid autoimmunity. Patients typically present with fluctuating symptoms, episodes of confusion, alterations of consciousness, and rapid cognitive decline. Different approaches to the treatment of HE have been recommended. As the acronym SREAT suggests, patients typically respond dramatically to high-dose steroid therapy.",

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The Third Time's the Charm

Abstract

Keywords

ASJC Scopus subject areas

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