| CASE REPORT |
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| Year : 2021 | Volume
: 5
| Issue : 1 | Page : 36-38 |
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Steroid-responsive encephalopathy associated with thyroiditis: A diagnostic challenge
Aamir Shahzad1, Phool Iqbal1, Muhammad Bilal Jamshaid1, Rubab Fatima Malik1, Muhammad Tayyeb2, Abdulaziz Zafar1
1 Department of Medicine, Hamad General Hospital, Doha, Qatar
2 Department of Medicine, Mayo Hospital, King Edward Medical University, Lahore, Pakistan
Correspondence Address:
Dr. Muhammad Bilal Jamshaid
Hamad General Hospital, Appartement #332, Area #38, Building #29,AlSADD, Doha
Qatar
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/LJMS.LJMS_86_20
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steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT) is an autoimmune entity with a strong association with elevated antithyroid antibodies. It is a rare cause of encephalopathy and is usually a diagnosis of exclusion. Responsive to corticosteroids is required to make the diagnosis. Herein, we report a male patient presented with recurrent convulsive episodes not controlled well by anticonvulsant drugs and had drops in Glasgow coma scale (GCS). After unremarkable of extensive investigations, Hashimoto's encephalitis was suspected and antithyroid peroxidase antibodies test turned out to be positive, while thyroid function tests were normal and the diagnosis of steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT) was made. He received a course of intravenous methylprednisolone for 5 days and responded very well to therapy, with an improvement of his GCS to 15/15.
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