Treatment of neuropsychiatric symptoms associated with euthyroid Hashimoto thyroiditis with antidepressants: a case report

Andreou, Christina; Bozikas, Vasilis P.; Lagoudis, Athanasios; Paspali, Dimitra; Fokas, Kostas

doi:10.1016/j.genhosppsych.2008.07.005

Cited by 2 publications

(2 citation statements)

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“…[ 5 11 12 13 ] However, only a few have responded well with mood stabilizers, antidepressants, and antipsychotics. [ 4 14 ]…”

Section: Discussionmentioning

confidence: 99%

“…[5,[11][12][13] However, only a few have responded well with mood stabilizers, antidepressants, and antipsychotics. [4,14] The role of steroids in the acute management of ischemic stroke remains controversial. The recently published Cochrane review recommends that steroids, considered magic drugs in neurology in the past, play no active role in the management of acute ischemic stroke.…”

Section: Discussionmentioning

confidence: 99%

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Neuropsychiatric Manifestation of Hashimoto's Encephalopathy in an Adolescent and Treatment

Ransing

Mishra

Sarkar³

2016

Indian Journal of Psychological Medicine

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Hashimoto's encephalopathy is usually underdiagnosed and untreated because of complex neuropsychiatric manifestation. We report a case of an adolescent female with Hashimoto's encephalopathy who responded well to a combination of aspirin and levothyroxine. A 16-year-old girl presented at psychiatric emergency services with a depressive episode, menstrual irregularities, and a 5-month past history of thyroid swelling. On clinical examination, she was in a euthyroid state with insignificant neurological history. However, her previous investigation revealed a hypothyroid state. Her magnetic resonance imaging findings demonstrated infarcts in the bilateral gangliocapsular region and left frontal periventricular deep white matter lesion. Ultrasonography of the thyroid and fine needle aspiration cytology confirmed lymphocytic thyroiditis. Anti-thyroid peroxidase (289 IU/ml) antibody titer was elevated (289 IU/mL). Her depressive symptoms responded well to antidepressants, mood stabilizers, nonsteroidal anti-inflammatory drugs, and levothyroxine. She remained in the euthyroid state and then in the euthymic state for 3 years. Hashimoto's encephalopathy is steroid-responsive encephalopathy. Most researchers have observed a dramatic response to steroids with or without levothyroxine. A clinician may consider aspirin as an alternative to a steroid in long-term management to avoid steroid-related side effects and contraindications.

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“…[ 5 11 12 13 ] However, only a few have responded well with mood stabilizers, antidepressants, and antipsychotics. [ 4 14 ]…”

Section: Discussionmentioning

confidence: 99%