Encéphalopathie corticosensible associée à une thyroïdite auto-immune

Debbabi, W.; Essid, A.; Chiboub, Marwa; Kharrat, I.; Samet, S.

doi:10.1016/j.ando.2017.07.425

Cited by 2 publications

(3 citation statements)

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“…A TSH test is necessary to reveal thyroid dysfunction. It may also lend support in detecting HE [ 170 ]. Suspicion of Wilson’s disease, which is the most frequent metabolic disorder responsible for psychotic symptoms, can be formally excluded with a negative result of the copper measurement in the blood.…”

Section: Discussionmentioning

confidence: 99%

“…CT is also less sensitive than MRI in the diagnosis of cerebral lesions [ 3 ]. Moreover, studies report good patient compliance, and an economic analysis suggested that MRI could be cost-saving when the prevalence of organic causes is around 1%, while the prevalence of imaging findings that would influence clinical management is estimated at around 5% in the case of FEP [ 3 , 10 , 168 , 170 , 176 ].…”

Section: Discussionmentioning

confidence: 99%

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Psychosis Caused by a Somatic Condition: How to Make the Diagnosis? A Systematic Literature Review

Dissaux,

Neyme,

Kim-Dufor

et al. 2023

Children

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Background: First episode of psychosis (FEP) is a clinical condition that usually occurs during adolescence or early adulthood and is often a sign of a future psychiatric disease. However, these symptoms are not specific, and psychosis can be caused by a physical disease in at least 5% of cases. Timely detection of these diseases, the first signs of which may appear in childhood, is of particular importance, as a curable treatment exists in most cases. However, there is no consensus in academic societies to offer recommendations for a comprehensive medical assessment to eliminate somatic causes. Methods: We conducted a systematic literature search using a two-fold research strategy to: (1) identify physical diseases that can be differentially diagnosed for psychosis; and (2) determine the paraclinical exams allowing us to exclude these pathologies. Results: We identified 85 articles describing the autoimmune, metabolic, neurologic, infectious, and genetic differential diagnoses of psychosis. Clinical presentations are described, and a complete list of laboratory and imaging features required to identify and confirm these diseases is provided. Conclusion: This systematic review shows that most differential diagnoses of psychosis should be considered in the case of a FEP and could be identified by providing a systematic checkup with a laboratory test that includes ammonemia, antinuclear and anti-NMDA antibodies, and HIV testing; brain magnetic resonance imaging and lumbar puncture should be considered according to the clinical presentation. Genetic research could be of interest to patients presenting with physical or developmental symptoms associated with psychiatric manifestations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Psychosis Caused by a Somatic Condition: How to Make the Diagnosis? A Systematic Literature Review

Dissaux,

Neyme,

Kim-Dufor

et al. 2023

Children

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“…The estimated prevalence of SREAT is 2.1 per 100,000, yet it remains underdiagnosed [1]. There is a female predominance, with an average age of onset of 40-55 years [2,3]. SREAT may manifest with highly variable manifestations, such as seizures, cognitive impairment, neuropsychiatric symptoms, stroke-like events, focal neurological deficit or movement disorders, and the presence of antithyroid peroxidase (TPO) antibodies and/or anti-thyroglobulin (TG) antibodies.…”

Section: Introductionmentioning

confidence: 99%

Steroid-Responsive Encephalopathy Associated With Autoimmune Thyroiditis Presenting With Parkinsonism

Hicham,

Naji,

Hrouch

et al. 2024

Cureus

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Steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT) is a rare condition defined as encephalopathy with a positive antithyroid antibody. We report the case of a 52-year-old woman who presented with Parkinsonism associated with Hashimoto's thyroiditis. A few similar cases have been reported. Our patient responded well to corticosteroids with a significant reduction in symptoms. Diagnosis can pose a significant challenge in SREAT cases because of its variable clinical presentation. Therefore, we recommend evaluating thyroid function and thyroid autoantibodies in the context of acute and subacute encephalopathy. In the elderly population, SREAT, as a cause of Parkinsonism, should not be forgotten because of its simple treatment and significant improvements in neurological symptoms.

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Encéphalopathie corticosensible associée à une thyroïdite auto-immune

Cited by 2 publications

References 0 publications

Psychosis Caused by a Somatic Condition: How to Make the Diagnosis? A Systematic Literature Review

Psychosis Caused by a Somatic Condition: How to Make the Diagnosis? A Systematic Literature Review

Steroid-Responsive Encephalopathy Associated With Autoimmune Thyroiditis Presenting With Parkinsonism

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