Case | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
---|---|---|---|---|---|---|---|
Age | 58 | 54 | 44 | 53 | 73 | 80 | 86 |
Sex | F | F | F | F | F | F | F |
Symptoms: | |||||||
Dementia | + | + | + | + | + | + | + |
Cerebellar ataxia | + | + | + | + | + | + | + |
Myoclonus | + | + | + | + | + | + | + |
Extrapyramidal signs | + | ||||||
Pyramidal signs | + | + | |||||
Hallucinations | + | + | + | ||||
Reduced consciousness | + | + | + | + | + | ||
Epileptic seizures | + | + | |||||
Psychosis | + | + | + | ||||
Stroke-like episodes | + | + | + | + | |||
Apathy | + | + | + | + | + | ||
Laboratory findings:2-150 | |||||||
Thyroid parameters | Euthyroid | Hyperthyroid | Euthyroid | Euthyroid | Euthyroid | Euthyroid | Euthyroid |
TSH | Increased | Reduced | Normal | Normal | Normal | Normal | Increased |
Thyroglobin antibodies | 232 U/ml | 147 U/ml | Normal | 171 U/ml | Normal | 2-151 | Normal |
Microsomal antibodies | Normal | Normal | 548 U/ml | Normal | 205 U/ml | 2-151 | 1602 U/ml |
CSF findings: | |||||||
Leucocyte density | 13 leuc/μl | 21 leuc/μl | Normal | 5 leuc/μl | Normal | Normal | Normal |
Protein in CSF | Increased | Increased | Increased | Increased | Normal | Normal | Increased |
CSF/serum albumin ratio | Increased | Increased | Increased | Increased | Normal | Normal | Increased |
Brain atrophy: | No | No | Yes | No | Yes | No | Yes |
↵2-150 The following thyroid parameters were determined: triiodothyronine, free L-thyroxin, thyroid-stimulating hormone (TSH), thyroglobulin antibodies (normal range <60 U/ml), microsomal antibodies (=autoantibodies to thyroid peroxidase, normal range <60 U/ml).
↵2-151 In this case Hashimoto’s encephalitis was diagnosed because of neurological symptoms, excluding other diseases and improvement after corticoid therapy.