Steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT) or Hashimoto's encephalopathy: a case and review

Abstract

Background: Steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT) is a condition of presumed autoimmune etiology that can present with a variety of neuropsychiatric signs and symptoms.

Objective: To illustrate the clinical findings and treatment options of this underdiagnosed condition.

Method: We present a case of a patient diagnosed with SREAT and review the available literature including management of psychiatric symptoms.

Results: Little has been reported about the psychiatric management of patients with SREAT.

Conclusion: Psychiatrists practicing in the general hospital setting should be aware of this often unrecognized entity to ensure accurate diagnosis and timely treatment.