Hashimoto encephalopathy: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Hashimoto encephalopathy: management. The protein is elevated in most cases. Fully referenced neurology checklist.

Cerebrospinal fluid (CSF) analysis

  • The protein is elevated in most cases
  • Oligoclonal bands (OCBs) are frequently present

Electroencephalogram (EEG)

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Thyroid function

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Magnetic resonance imagining (MRI) brain

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Single photon emission CT (SPECT)

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MRI differential diagnosis

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Treatment

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Synonyms

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References

  1. Chong JY, Rowland LP, Utiger RD. Hashimoto encephalopathy: syndrome or myth? Arch Neurol 2003; 60:164-171.
  2. Marshall GA, Doyle JJ. Long-term treatment of Hashimoto’s encephalopathy. J Neuropsychiatry Clin Neurosci 2006; 18:1.
  3. Barker R, Zajicek J, Wilkinson I. Thyrotoxic Hashimoto's encephalopathy. JNNP 1996; 60:234.
  4. Warren CL, Sawhney IMS. Encephalopathy with hypothyroidism. J R Soc Med 2004; 97:287–288.
  5. Kalita J, Misra UK, Rathore C, Pradhan PK, Das BK. Hashimoto's encephalopathy: clinical, SPECT and neurophysiological data. QJM 2003; 96:455-457.
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