Steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT) or Hashimoto's encephalopathy: a case and review

Psychosomatics. 2011 Mar-Apr;52(2):99-108. doi: 10.1016/j.psym.2010.12.010.

Abstract

Background: Steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT) is a condition of presumed autoimmune etiology that can present with a variety of neuropsychiatric signs and symptoms.

Objective: To illustrate the clinical findings and treatment options of this underdiagnosed condition.

Method: We present a case of a patient diagnosed with SREAT and review the available literature including management of psychiatric symptoms.

Results: Little has been reported about the psychiatric management of patients with SREAT.

Conclusion: Psychiatrists practicing in the general hospital setting should be aware of this often unrecognized entity to ensure accurate diagnosis and timely treatment.

Publication types

  • Case Reports

MeSH terms

  • Antipsychotic Agents / therapeutic use
  • Biopsy
  • Diagnosis, Differential
  • Drug Therapy, Combination
  • Glucocorticoids / therapeutic use
  • Hashimoto Disease / diagnosis*
  • Hashimoto Disease / drug therapy
  • Hashimoto Disease / etiology
  • Hashimoto Disease / psychology
  • Humans
  • Immunoglobulins, Intravenous / therapeutic use
  • Male
  • Methylprednisolone / therapeutic use
  • Middle Aged
  • Piperazines / therapeutic use
  • Risk Factors
  • Terminology as Topic
  • Thiazoles / therapeutic use

Substances

  • Antipsychotic Agents
  • Glucocorticoids
  • Immunoglobulins, Intravenous
  • Piperazines
  • Thiazoles
  • ziprasidone
  • Methylprednisolone