Hypothyroidism masquerading as cerebellar ataxia

Authors : Sakshi Gagneja, Sourya Acharya, Anuja Beralkar, Ayush Somani

DOI : 10.18231/2455-8451.2018.0039

Volume : 4

Issue : 3

Year : 0

Page No : 163-165

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


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