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| Case Report | |||||
| Dementia and Neurocognitive Disorders 2011: 10: 3: 102-105 | |||||
| 쉐그렌증후군과 항 갑상선 항체의 상승을 동반한 비혈관염 자가면역 염증성 뇌병증 1예 | |||||
|---|---|---|---|---|---|
| 이성준, 손성연, 임태성, 문소영 | |||||
| 아주대학교 의과대학 신경과학교실 | |||||
| A Case of Nonvasculitic Autoimmune Inflammatory Meningoencephalitis Accompanied by Sjögren’s Syndrome and Elevated Antithyroid Antibodies | |||||
| Seong Joon Lee, M.D., Sung Yeon Sohn, M.D., Tae Sung Lim, M.D., So Young Moon, M.D. | |||||
| Department of Neurology, Ajou University School of Medicine, Suwon, Korea | |||||
| 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 Sjögren’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. | |||||
| Key Words: Nonvasculitic autoimmune inflammatory meningoencephalitis, Sjögren’s syndrome, Steroid responsive encephalopathy associated with autoimmune thyroiditis, Bipolar disorder | |||||
| 대한치매학회지 (Dementia and Neurocognitive Disorders) |
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