ISSN: 2167-7948
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Collin Chen
Tanzania
Case Report
Mixed Clinical Response After Total Thyroidectomy in Two Patients with Hashimoto’s Encephalopathy
Author(s): Collin Chen, Pratap Chand, Stanley Iyadurai, Mary Scaduto and Mark VarvaresCollin Chen, Pratap Chand, Stanley Iyadurai, Mary Scaduto and Mark Varvares
Importance: Hashimoto’s encephalopathy (HE) is currently treated with medical therapy. Only one case of thyroidectomy as treatment for HE has been presented in the literature. We present two patients with distinct manifestations of (HE) who underwent thyroidectomy after minimal response to medical management.
Observations: Patient 1 is a 71 year-old female who presented with motor restlessness. She had persistently elevated antithyroid antibodies. After thyroidectomy, her symptoms were only mildly improved. Iodine-123 thyroid scan revealed a small remnant of thyroid tissue. Her antithyroid antibodies remained elevated. Patient 2 is a 60 year-old female with previous diagnosis of (HE) who presented with recurrent seizures. She had a history of elevated antithyroid antibodies. After thyroidectomy, she no longer had seizures, and her anti.. View More»
DOI:
10.4172/2167-7948.1000131