HASHIMOTO’S DISEASE WHAT IS IT AND WHAT DOES IT INFLUENCE It’s a worldwide epidemic nowadays. but mainly in the Mediterranean area. We see 15 to 20 cases every week here in Athens. Us alone. Hashimoto’s disease produces thyroid antibodies. that attack both the thyroid and the brain. That is the reason it was mistakenly believed until recently. that it was caused by the thyroid. But it is not so. It is a multiorgan disease with high comorbidity. It quite often coexists with other autoimmune diseases. Mainly with the Systemic lupus erythematosus SLE disease.
But it might also depend upon other organic diseases. IS HASHIMOTO’S DISEASE LINKED TO OTHER NERVE DISEASES It is a disease that does not start at the thyroid. but attacks mainly the thyroid. That causes an unnecessary production of thyroid antibodies. which then mainly attack the central nervous system. The downside in this case is that it’s a substrate disease. Videlicet it develops very slowly. It might start with childhood. Or the patient might carry it since the moment he or she was born. And gradually pathogenic developments are added to it.
That day by day or year to year change the clinical picture. Thus we might have a chameleon of clinical pictures. that is hard to determine. It has to do with the way the person manages stress. When the stress is not dealt with properly. because the body’s defenses are low in such a way that the cortisol is low. the hormone in our blood that strengthens us against stress. then all the other things appear. And right after that the nerve system principally is being attacked. by the accumulation of these antibodies.
Neurologistpsychiatrist Dr Dimitris Kountouris analyzes Hashimotos disease
For the most part in the brain and then in the whole nerve system. Meaning that the clinical picture might show. and that is something quite characteristic. pathogenesis and involvement of the whole nerve system. or parts of the nerve system along with other systems. But the nerve system is always affected. WHAT IS HASHIMOTO’S ENCEPHALOPATHY AND WHAT ARE THE SYMPTOMS Hashimoto’s encephalopathy is in some way the champion of autoimmune encephalopathies. Hashimoto’s disease is involved in all kinds of encephalopathies. It must be stressed though that up until now we lacked the proper diagnostic tools.
The proper medical tools. to certify while the patience is still alive that he has encephalopathy. In the last 3 to 4 years. especially with the development of the digital MRI. and the EEG that can now be used at any moment painlessly and bloodless. and acquire hours or days of records. a brain research can be done. I emphasize again. while the patience is still alive. up to the last cell. Thus the experience of the doctor along with the diagnostics he gathers. enable him to diagnose the disease. Hereto the encephalopathy.
If additionally the antibodies are detected. something that can be very easily done with a routine particular test. then we are faced with Hashimoto’s encephalopathy. Our last two years experiences show. that we are purely dealing with nerve system diseases. that are influenced by autoimmune activities. CARPAL TUNNEL SYNDROME AND HASHIMOTO’S DISEASE. Either the thyroid with the hormones it produces. has a pathogenic affect on the carpal nerve, thus the Carpal Tunnel Syndrome appears. Either Hashimoto’s disease on its’ own has an autoimmune affect. on the last part of the median nerve.
And a clinical picture of the Carpal Tunnel Syndrome appears. Or the two cases I mentioned before are already there. and then an infection is added, by herpes for example. and causes this condition. The clinical doctor sees the Carpal Tunnel Syndrome. That’s why after the surgery in this case. he realizes that it wasn’t the solution and the problem lies somewhere else. That way of thinking has to do with all Hashimoto’s’ comorbidity diseases. thus with Hashimoto’s disease itself. With Hashimoto’s we have a huge tail of neurological syndromes. We might have dementia, schizophrenia, depression.
Always of organic nature. Different kinds of encephalitides, encephalopathies. We might have solitary symptoms in the sense organs. Namely one eye might become blind, one ear might lose its’ hearing. we might have severe dizziness, tinnitus, pains. Diverse syndromes might appear such as migraines, neuralgia. or fibromyalgia, the famed new syndrome. that everyone says has its roots in the brain. but behind it hides an autoimmune disorder in the socalled brain center. WHAT MUST THE PATIENT DO IF HE HAS HASHIMOTO’S DISEASE He must undergo immediately three basic medical tests. An EEG, an MRI and some biochemical tests.
If all those are combined a red light will light up somewhere. and the indicator will appear that will send him to a specialist for further tests. ARE THE HASHIMOTO’S DISEASE AND ITS SYMPTOMS TREATABLE Therapy in Hashimoto’s syndromes or Hashimoto’s encephalopathy. means to take an extended history. You have to assort the pathological data that exist the moment you see the patient. There is an effective and quick therapy. when the diagnosis is done the earliest possible. And it also depends a lot on the doctors experience. When we have thought disorders, cognitive disorders.
Lack of concentration, perception weakness. poor sleep. symptoms from brain nerves or from the whole brain. for example dizziness, vertigo, epilepsies, gait weakness. lack of concentration or of the feeling of touch. even intense mental illnesses, psychoses. Schizophrenias. or depressions. or even neuroses. which might quit characteristically be accompanied by panic attacks. 90 of panic attacks are rooted in Hashimoto’s disorders. In autoimmune diseases. So when we have all these symptoms we resort to these three diagnostic tests. and then the specialist must assess them. Subttiles Editor Social media npentzosgmail.