桥本脑病模拟后可逆性脑病综合征1例。

Encephalitis (Seoul, Korea) Pub Date : 2025-07-01 Epub Date: 2025-07-02 DOI:10.47936/encephalitis.2025.00038
Yoonjeong Na, Jung-Ju Lee, Byung-Kun Kim, Kyusik Kang, Woong-Woo Lee, Ilhan Yoo, Namoh Kim, Michelle Sojung Youn
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引用次数: 0

摘要

桥本脑病(HE)是一种罕见的中枢神经系统疾病,其特征是多种神经系统症状与抗甲状腺抗体水平升高相关。后部可逆性脑病综合征(PRES)是一种临床-放射学综合征,其典型表现为严重头痛、精神状态改变、视力障碍、癫痫发作和血管源性水肿。我们经历了一位以PRES为表现的HE患者,他在抗癫痫药物和皮质类固醇治疗后表现出显著的改善。本病例报告强调了潜在的病理机制和临床意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A case of Hashimoto's encephalopathy mimicking posterior reversible encephalopathy syndrome.

A case of Hashimoto's encephalopathy mimicking posterior reversible encephalopathy syndrome.

A case of Hashimoto's encephalopathy mimicking posterior reversible encephalopathy syndrome.

Hashimoto's encephalopathy (HE) is a rare disease of the central nervous system characterized by diverse neurological symptoms associated with elevated levels of antithyroid antibodies. Posterior reversible encephalopathy syndrome (PRES) is a clinico-radiological syndrome characterized by typical manifestations such as severe headache, altered mental status, visual impairment, seizures, and vasogenic edema. We experienced a patient with HE presenting with PRES who showed remarkable improvement subsequent to treatment with anti-seizure medication and corticosteroids. This case report underscores potential pathomechanisms and clinical significance.

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