Hashimoto Encephalopathy Presenting with Acute Psychosis and Inappropriate Secretion of Antidiuretic Hormone: A Rare Case Responding to Steroid Therapy

Masato Okitsu; Keizo Sugaya; Makoto Yoneda; Kazushi Takahashi

doi:10.12659/AJCR.942297

12 December 2023: Articles

Hashimoto Encephalopathy Presenting with Acute Psychosis and Inappropriate Secretion of Antidiuretic Hormone: A Rare Case Responding to Steroid Therapy

Unusual clinical course, Challenging differential diagnosis

Masato Okitsu ^A* , Keizo Sugaya ^A , Makoto Yoneda ^B , Kazushi Takahashi ^A

DOI: 10.12659/AJCR.942297

Am J Case Rep 2023; 24:e942297

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Background Case Report Discussion Conclusions References:

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Figure 2. Cerebral blood flow (I−123)-iodoamphetamine single-photon emission computed tomography (SPECT) before and after steroid therapy. Panel (A) was taken in the acute phase of the disease without steroid treatment. Panel (B) was taken after 5 months when his symptoms had already improved. In comparison with Panel (B) retrospectively, Panel (A) suggests extensive cerebral hyperperfusion, including the brainstem and frontal and medial temporal lobes.

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Hashimoto Encephalopathy Presenting with Acute Psychosis and Inappropriate Secretion of Antidiuretic Hormone: A Rare Case Responding to Steroid Therapy

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