Steroid-Sensitive Encephalopathy Associated With Autoimmune Thyroiditis (SREAT): Case Report

¹Neurology Department, Hospital Simón Bolívar, Bogotá, Colombia

²Emergency Department, Hospital Simón Bolívar, Bogotá, Colombia

³Neurology Resident, Universidad El Bosque, Bogotá Colombia

*Corresponding Author: Diego Nicolas Guacaneme Poveda, Neurology Department, Hospital Simón Bolívar, Bogotá, Colombia; Tel: +56 979634765; Email: [email protected]

Received Date: June 8, 2023

Publication Date: August 05, 2023

Citation: Guacaneme DN, et al. (2023). Steroid-Sensitive Encephalopathy Associated With Autoimmune Thyroiditis (SREAT): Case Report. Clin Res. 4(3):17.

Copyright: Guacaneme DN, et al. © (2023). 

ABSTRACT

Background: Steroid-responsive Encephalopathy Associated with Autoimmune Thyroiditis (SREAT) is a rare, controversial and underdiagnosed entity characterized by an acute or subacute onset of encephalopathy. It is a diagnosis of exclusion with supporting criteria that include high titers of anti-thyroid antibodies, a history of Hashimoto's thyroiditis, and a good response to steroids. Case report: An 18-year-old female patient with hypothyroidism and episode of change in behavior, hallucinations and episodes of generalized tonic-clonic movements, normal skull tomography, cerebrospinal fluid with pleocytosis without signs of infection and positive anti-thyroid antibodies with adequate response to management with steroids Conclusion: We considered SERAT as an entity that needs to be rediscovered as it has conflicting results that question if it is a syndrome or a myth. The literature is especially lacking in Colombia where there are not many published cases.

Keywords: Autoimmune encephalopathy, thyroiditis, Hashimoto's encephalopathy, anti-thyroid antibodies, case report