Indian Journal of Nuclear Medicine
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CASE REPORT
Year : 2013  |  Volume : 28  |  Issue : 2  |  Page : 102-104

Brain hypoperfusion on Tc-99m-ethylene dicysteine diethyl ester single-photon emission computed tomography in Hashimoto΄s encephalopathy


1 Department of Nuclear Medicine, University Hospital "Infanta Cristina", Badajoz, Spain
2 Department of Neurology, University Hospital "Infanta Cristina", Badajoz, Spain

Correspondence Address:
María Luz Domínguez Grande
Department of Nuclear Medicine, Hospital Universitario Infanta Cristina, Avda de
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.118231

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We present a 17-year-old female, previously diagnosed of autoimmune hyperthyroidism who had an acute neurological episode and presented high antithyroid antibodies titers, cerebral spinal fluid and electroencephalogram changes. Tc-99m ethylene dicysteine diethyl ester brain single-photon emission computed tomography (SPECT) showed global and patchy hypoperfusion. With glucocorticoid therapy, clinical symptoms disappeared; there was a decrease in antithyroid antibody levels and repeat brain SPECT revealed improvement of perfusion.


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