Title |
Cerebellar ataxia as presenting feature of hypothyroidism
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Published in |
Archives of Endocrinology and Metabolism, February 2016
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DOI | 10.1590/2359-3997000000121 |
Pubmed ID | |
Authors |
Suman Kumar Kotwal, Shalija Kotwal, Rohan Gupta, Jang Bhadur Singh, Annil Mahajan |
Abstract |
Symptoms and signs of the hypothyroidism vary in relation to the magnitude and acuteness of the thyroid hormone deficiency. The usual clinical features are constipation, fatigue, cold intolerance and weight gain. Rarely it can present with neurologic problems like reversible cerebellar ataxia, dementia, peripheral neuropathy, psychosis and coma. Hypothyroidism should be suspected in all cases of ataxia, as it is easily treatable. A 40 year-old male presented with the history facial puffiness, hoarseness of voice and gait-ataxia. Investigations revealed frank primary hypothyroidism. Anti-TPO antibody was positive. Thyroxine was started and patient improved completely within eight weeks. Hypothyroidism can present with ataxia as presenting feature. Hypothyroidism should be considered in all cases of cerebellar ataxia as it is a reversible cause of ataxia. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 22 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 4 | 18% |
Student > Bachelor | 3 | 14% |
Other | 3 | 14% |
Student > Master | 2 | 9% |
Student > Ph. D. Student | 2 | 9% |
Other | 0 | 0% |
Unknown | 8 | 36% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 5 | 23% |
Psychology | 2 | 9% |
Veterinary Science and Veterinary Medicine | 1 | 5% |
Nursing and Health Professions | 1 | 5% |
Arts and Humanities | 1 | 5% |
Other | 2 | 9% |
Unknown | 10 | 45% |