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IP Indian Journal of Neurosciences


Hypothyroidism masquerading as cerebellar ataxia


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Author Details: Sakshi Gagneja, Sourya Acharya, Anuja Beralkar, Ayush Somani

Volume : 4

Issue : 3

Online ISSN : 2581-916X

Print ISSN : 2581-8236

Article First Page : 163

Article End Page : 165


Abstract

Cerebellar ataxia can be a rare possible presentation of autoimmune hypothyroidism. We report a case of a young 20 years old female, who presented with bilateral cerebellar ataxia without any other significant neurological features. In detail investigations, she was discovered to be a case of Hashimoto Thyroiditis with positive anti-thyroid peroxidase (TPOAb) antibody and low freeT4 and freeT3 levels. She improved dramatically with levothyroxine therapy and iv pulse methylprednisolone. Thus, hypothyroidism should be looked for as a reversible and treatable cause in all cases of bilateral cerebellar ataxia.

Keywords:Hypothyroidism, Autoimmune, Cerebellar ataxia, TPOAb

Doi :-https://doi.org/10.18231/2455-8451.2018.0039