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A Case of Nonvasculitic Autoimmune Inflammatory Meningoencephalitis Accompanied by Sjogren’s Syndrome and Elevated Antithyroid Antibodies

Other Title
쉐그렌증후군과 항 갑상선 항체의 상승을 동반한 비혈관염 자가면역 염증성 뇌병증 1예
Authors
이, 성준; 손, 성연; 임, 태성; 문, 소영
Citation
Dementia and neurocognitive disorders, 10(3):102-105, 2011
Journal Title
Dementia and neurocognitive disorders
ISSN
1738-14952384-0757
Abstract
Background: Nonvasculitic autoimmune inflammatory meningoencephalitis (NAIM) is known to be one of the causes of potentially reversible dementia. NAIM can be accompanied by various autoimmune diseases.



Methods: A 65 year-old woman had been treated with stable bipolar disorder and presented with rapid cognitive decline, visual hallucination and myoclonus. Anti-thyroid antibodies were elevated. Her symptoms were responsive to steroid therapy. Her diagnostic evaluation also revealed Sjogren’s syndrome. Although her symptoms recovered, a manic episode reappeared and was responsive to psychiatric treatment.



Conclusions: Patients presenting with rapidly progressive dementia should be thoroughly evaluated for the diagnosis of NAIM, a potentially treatable form of dementia, and the possible various underlying autoimmune etiologies.
Keywords
Nonvasculitic autoimmune inflammatory meningoencephalitisSjogren’s syndromeSteroid responsive encephalopathy associated with autoimmune thyroiditisBipolar disorder
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurology
AJOU Authors
임, 태성문, 소영
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