ABSTRACT
Patients with Hashimoto thyroiditis may have neurologic manifestations that have been described in the literature for some decades now; these include psychiatric disorders, abnormal movements, and simulation of cerebrovascular events. Nuclear magnetic resonance (MRI) studies have revealed diffuse leukoencephalopathy in most cases. We describe a case having clinical manifestations simulating cerebrovascular events, together with cognitive alterations (a presentation already described in other patients). Among the 2 main forms of neurologic manifestations, the cognitive type, which is probably associated with endocrinologic alteration, may improve with hormone supplement. Those alterations simulating cerebrovascular events are most probably related to autoimmune vasculitis. The latter may improve with the administration of corticosteroids, which are proposed as treatment of this disorder.
ABSTRACT
La disección vertebral, es una forma relativamente frecuente de enfermedad cerebrovascular en pacientes jóvenes cuya etiopatogenia no se ha establecido del todo. Su clínica es diversa dependiendo del sitio y extensión de la disección, de la presencia de trombosis o hemorragia y del efecto que sobre estructuras adyacentes pueda tener. Se presenta el caso de una mujer joven con disección subintimal en el segmento V2, cuya EMG comprobó denervación del deltoides, el bíceps y el infraespinoso sin compromiso depara espinales C2-C5. Se analizan los principales elementos del diagnóstico y tratamiento de esta afección.