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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 25:807-808, May 2004
© 2004 American Society of Neuroradiology

Case Report
BRAIN

MR Findings in Hashimoto Encephalopathy

Yonung Min Song^a, Dae Won Seo^a and Gregory Youngnam Chang^b

^a Department of Neurology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea
^b Department of Neurology, 121st U.S. Army General Hospital, Seoul, Korea

Address correspondence to Gregory Youngnam Chang, LTC, MC, HHC 121st General Hospital, Box #277, APO AP 96205-0017

Summary: A 35-year-old Korean woman had Hashimoto encephalopathy of varying MR imaging appearance over 5 years that ranged from that of transient subcortical ischemia to that of gradually evolving multifocal signal intensity change accompanied by unilateral cerebellar atrophy. Thus, the MR imaging appearance of Hashimoto encephalopathy may simulate an ischemic stroke, multiple tumors or granulomas, or even a degenerative process.

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