Table 2

Summary of symptoms and findings in our patients with Hashimoto’s encephalitis

Case1234567
Age58544453738086
SexFFFFFFF
Symptoms:
Dementia+++++++
Cerebellar ataxia+++++++
Myoclonus+++++++
Extrapyramidal signs+
Pyramidal signs++
Hallucinations+++
Reduced consciousness+++++
Epileptic seizures++
Psychosis+++
Stroke-like episodes++++
Apathy+++++
Laboratory findings:2-150
Thyroid parametersEuthyroidHyperthyroidEuthyroidEuthyroidEuthyroidEuthyroidEuthyroid
TSHIncreasedReducedNormalNormalNormalNormalIncreased
Thyroglobin antibodies232 U/ml147 U/mlNormal171 U/mlNormal 2-151 Normal
Microsomal antibodiesNormalNormal548 U/mlNormal205 U/ml 2-151 1602 U/ml
CSF findings:
Leucocyte density13 leuc/μl21 leuc/μlNormal5 leuc/μlNormalNormalNormal
Protein in CSFIncreasedIncreasedIncreasedIncreasedNormalNormalIncreased
CSF/serum albumin ratioIncreasedIncreasedIncreasedIncreasedNormalNormalIncreased
Brain atrophy:NoNoYesNoYesNoYes
  • 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.