A case of subclinical hypothyroidism with cerebellar ataxia

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dc.contributor.authorSabnis, Shweten_US
dc.contributor.authorBiswas, Tushar K.en_US
dc.date.accessioned2023-06-17T08:54:06Z
dc.date.available2023-06-17T08:54:06Z
dc.date.issued2022-04
dc.description.abstractHypothyroidism 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.en_US
dc.identifier.affiliationsDepartment of Geriatrics, MGM Medical College and Hospital, Kamothe, Navi Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationSabnis Shwet, Biswas Tushar K.. A case of subclinical hypothyroidism with cerebellar ataxia. MGM Journal of Medical Sciences. 2022 Apr; 9(2): 250-253en_US
dc.identifier.issn2347-7946
dc.identifier.issn2347-7962
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/217030
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber2en_US
dc.relation.volume9en_US
dc.source.urihttps://doi.org/10.4103/mgmj.mgmj_82_21en_US
dc.subjectCerebellar ataxiaen_US
dc.subjectsubclinical hypothyroidismen_US
dc.subjectthyroxineen_US
dc.titleA case of subclinical hypothyroidism with cerebellar ataxiaen_US
dc.typeJournal Articleen_US
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