Subclinical hypothyroidism presenting with gait abnormality.
(2010) In The Neurologist 16(2). p.115-116- Abstract
- Subclinical thyroid disease is a common disorder, particularly in middle-aged and elderly individuals. Some patients with manifest hypothyroidism complain of unsteadiness of gait. The management of subclinical hypothyroidism is controversial. A 61-year-old man presented with a mild gait abnormality. He walked unsteadily on a broad base. Examination revealed a slight cerebellar ataxic gait. Laboratory evaluation showed elevated levels of thyroid-stimulating hormone. Serum free thyroxine was normal and thyroglobulin antibodies were present. Computer tomography of the patient's head was normal, as were other investigations. The patient responded rapidly to thyroxin treatment with resolution of the gait disturbance. A laboratory evaluation of... (More)
- Subclinical thyroid disease is a common disorder, particularly in middle-aged and elderly individuals. Some patients with manifest hypothyroidism complain of unsteadiness of gait. The management of subclinical hypothyroidism is controversial. A 61-year-old man presented with a mild gait abnormality. He walked unsteadily on a broad base. Examination revealed a slight cerebellar ataxic gait. Laboratory evaluation showed elevated levels of thyroid-stimulating hormone. Serum free thyroxine was normal and thyroglobulin antibodies were present. Computer tomography of the patient's head was normal, as were other investigations. The patient responded rapidly to thyroxin treatment with resolution of the gait disturbance. A laboratory evaluation of thyroid function should be performed in similar cases, and treatment should be initiated when called for. Subclinical hypothyroidism can present as a cerebellar ataxic gait. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1582324
- author
- Edvardsson, Bengt LU and Persson, Staffan LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- The Neurologist
- volume
- 16
- issue
- 2
- pages
- 115 - 116
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- wos:000275490500008
- pmid:20220447
- scopus:77949458792
- pmid:20220447
- ISSN
- 1074-7931
- DOI
- 10.1097/NRL.0b013e3181be6fdb
- language
- English
- LU publication?
- yes
- id
- 3f0964b6-fe6b-4896-a9e9-35bc54322281 (old id 1582324)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20220447?dopt=Abstract
- date added to LUP
- 2016-04-04 09:13:07
- date last changed
- 2022-01-29 08:49:59
@article{3f0964b6-fe6b-4896-a9e9-35bc54322281, abstract = {{Subclinical thyroid disease is a common disorder, particularly in middle-aged and elderly individuals. Some patients with manifest hypothyroidism complain of unsteadiness of gait. The management of subclinical hypothyroidism is controversial. A 61-year-old man presented with a mild gait abnormality. He walked unsteadily on a broad base. Examination revealed a slight cerebellar ataxic gait. Laboratory evaluation showed elevated levels of thyroid-stimulating hormone. Serum free thyroxine was normal and thyroglobulin antibodies were present. Computer tomography of the patient's head was normal, as were other investigations. The patient responded rapidly to thyroxin treatment with resolution of the gait disturbance. A laboratory evaluation of thyroid function should be performed in similar cases, and treatment should be initiated when called for. Subclinical hypothyroidism can present as a cerebellar ataxic gait.}}, author = {{Edvardsson, Bengt and Persson, Staffan}}, issn = {{1074-7931}}, language = {{eng}}, number = {{2}}, pages = {{115--116}}, publisher = {{Lippincott Williams & Wilkins}}, series = {{The Neurologist}}, title = {{Subclinical hypothyroidism presenting with gait abnormality.}}, url = {{http://dx.doi.org/10.1097/NRL.0b013e3181be6fdb}}, doi = {{10.1097/NRL.0b013e3181be6fdb}}, volume = {{16}}, year = {{2010}}, }