TY - JOUR
T1 - Cerebellar ataxia from multiple potential causes
T2 - Hypothyroidism, hashimoto’s thyroiditis, thalamic stimulation, and essential tremor
AU - Shneyder, Natalya
AU - Lyons, Mark K.
AU - Driver-Dunckley, Erika
AU - Evidente, Virgilio Gerald H.
N1 - Publisher Copyright:
© 2012 Shneyder et al.
PY - 2012
Y1 - 2012
N2 - Background: Both hypothyroidism and Hashimoto’s thyroiditis (HT) can rarely be associated with cerebellar ataxia. Severe essential tremor (ET) as well as bilateral thalamic deep brain stimulation (DBS) may lead to subtle cerebellar signs. Case Report: We report a 74-year-old male with hypothyroidism and a 20-year history of ET who developed cerebellar ataxia after bilateral thalamic DBS. Extensive workup revealed elevated thyroid stimulating hormone and thyroperoxidase antibody titers confirming the diagnosis of HT. Discussion: Our case demonstrates multiple possible causes of cerebellar ataxia in a patient, including hypothyroidism, HT, chronic ET, and bilateral thalamic DBS. Counseling of patients may be appropriate when multiple risk factors for cerebellar ataxia coexist in one individual.
AB - Background: Both hypothyroidism and Hashimoto’s thyroiditis (HT) can rarely be associated with cerebellar ataxia. Severe essential tremor (ET) as well as bilateral thalamic deep brain stimulation (DBS) may lead to subtle cerebellar signs. Case Report: We report a 74-year-old male with hypothyroidism and a 20-year history of ET who developed cerebellar ataxia after bilateral thalamic DBS. Extensive workup revealed elevated thyroid stimulating hormone and thyroperoxidase antibody titers confirming the diagnosis of HT. Discussion: Our case demonstrates multiple possible causes of cerebellar ataxia in a patient, including hypothyroidism, HT, chronic ET, and bilateral thalamic DBS. Counseling of patients may be appropriate when multiple risk factors for cerebellar ataxia coexist in one individual.
KW - Ataxia
KW - Deep brain stimulation
KW - Hashimoto’s thyroiditis
KW - Hypothyroidism
KW - Thalamic stimulation
KW - Tremor
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U2 - 10.5334/TOHM.100
DO - 10.5334/TOHM.100
M3 - Article
AN - SCOPUS:85048085845
SN - 2160-8288
VL - 2
JO - Tremor and Other Hyperkinetic Movements
JF - Tremor and Other Hyperkinetic Movements
ER -