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

Diego Nicolas Guacaneme1,*, Claudio Alejando Jiménez Monsalve1, Orlando Oliveros Pasión2, Julieth Milena Rodríguez López3, Neiry María Zapa Pérez1, Hellen Kreinter3, Nelly Daniela Gonzalez Galvis2

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). 


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

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