A case of subclinical hypothyroidism with cerebellar ataxia
Hypothyroidism is a common condition, the symptoms and signs of which vary with the duration and magnitude of thyroid hormone deficiency. Hypothyroidism can have rare neurologic problems such as reversible cerebellar ataxia. Subclinical hypothyroidism refers to biochemical evidence of thyroid hormon...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | MGM Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.mgmjms.com/article.asp?issn=2347-7946;year=2022;volume=9;issue=2;spage=250;epage=253;aulast=Sabnis |
| _version_ | 1828790502148800512 |
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| author | Shwet Sabnis Tushar K Biswas |
| author_facet | Shwet Sabnis Tushar K Biswas |
| author_sort | Shwet Sabnis |
| collection | DOAJ |
| description | Hypothyroidism is a common condition, the symptoms and signs of which vary with the duration and magnitude of thyroid hormone deficiency. Hypothyroidism can have rare neurologic problems such as reversible cerebellar ataxia. Subclinical hypothyroidism refers to biochemical evidence of thyroid hormone deficiency in patients who have few or no apparent clinical features of hypothyroidism. Here, we present a case of a 70-year-old woman with complaints of giddiness and unsteadiness of 6 months’ duration. Subsequent evaluation revealed titubation, broad-based reeling gait, and dysarthria. A MRI of the brain showed diffuse moderate cerebral atrophy with periventricular ischemic white matter changes and normal cerebellum. Further investigations revealed evidence of subclinical hypothyroidism. The patient was started on oral thyroxine supplements with a relief of symptoms following 3 weeks after the initiation of treatment and a complete recovery from symptoms after about 3 months of the initiation of treatment. The association of cerebellar involvement at the stage of subclinical hypothyroidism is a rare finding, making the case academically interesting. |
| first_indexed | 2024-12-12T01:31:39Z |
| format | Article |
| id | doaj.art-88fcd8dca6d3411d9d7ffe67ea8e1f47 |
| institution | Directory Open Access Journal |
| issn | 2347-7946 2347-7962 |
| language | English |
| last_indexed | 2024-12-12T01:31:39Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | MGM Journal of Medical Sciences |
| spelling | doaj.art-88fcd8dca6d3411d9d7ffe67ea8e1f472022-12-22T00:42:58ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622022-01-019225025310.4103/mgmj.mgmj_82_21A case of subclinical hypothyroidism with cerebellar ataxiaShwet SabnisTushar K BiswasHypothyroidism is a common condition, the symptoms and signs of which vary with the duration and magnitude of thyroid hormone deficiency. Hypothyroidism can have rare neurologic problems such as reversible cerebellar ataxia. Subclinical hypothyroidism refers to biochemical evidence of thyroid hormone deficiency in patients who have few or no apparent clinical features of hypothyroidism. Here, we present a case of a 70-year-old woman with complaints of giddiness and unsteadiness of 6 months’ duration. Subsequent evaluation revealed titubation, broad-based reeling gait, and dysarthria. A MRI of the brain showed diffuse moderate cerebral atrophy with periventricular ischemic white matter changes and normal cerebellum. Further investigations revealed evidence of subclinical hypothyroidism. The patient was started on oral thyroxine supplements with a relief of symptoms following 3 weeks after the initiation of treatment and a complete recovery from symptoms after about 3 months of the initiation of treatment. The association of cerebellar involvement at the stage of subclinical hypothyroidism is a rare finding, making the case academically interesting.http://www.mgmjms.com/article.asp?issn=2347-7946;year=2022;volume=9;issue=2;spage=250;epage=253;aulast=Sabniscerebellar ataxiasubclinical hypothyroidismthyroxine |
| spellingShingle | Shwet Sabnis Tushar K Biswas A case of subclinical hypothyroidism with cerebellar ataxia MGM Journal of Medical Sciences cerebellar ataxia subclinical hypothyroidism thyroxine |
| title | A case of subclinical hypothyroidism with cerebellar ataxia |
| title_full | A case of subclinical hypothyroidism with cerebellar ataxia |
| title_fullStr | A case of subclinical hypothyroidism with cerebellar ataxia |
| title_full_unstemmed | A case of subclinical hypothyroidism with cerebellar ataxia |
| title_short | A case of subclinical hypothyroidism with cerebellar ataxia |
| title_sort | case of subclinical hypothyroidism with cerebellar ataxia |
| topic | cerebellar ataxia subclinical hypothyroidism thyroxine |
| url | http://www.mgmjms.com/article.asp?issn=2347-7946;year=2022;volume=9;issue=2;spage=250;epage=253;aulast=Sabnis |
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