Skip to main content

Reversible myelopathy: an uncommon accompaniment of hypothyroidism


Atypical neurological presentations of hypothyroidism include myelopathy which has been seldom reported as presenting feature in patients. This case was one of those atypical presentations of hypothyroidism in which patient presented with neurological complication viz myelopathy which was timely diagnosed and treated. The symptoms including neurological findings reversed with thyroxin replacement. The case highlights the varied and vivid manifestations of hypothyroidism which treating physicians should be aware of while treating patients.


  1. Usha Menon V, Sundaram KR, Unnikrishnan AG, Jayakumar RV, Nair V, Kumar H. High prevalence of undetected thyroid disorders in an iodine sufficient adult south Indian population. J Indian Med Assoc 2009; 107: 72–77.

    CAS  PubMed  Google Scholar 

  2. Wise MP, Blunt S, Lane RJM. Neurological presentations of hypothyroidism: the importance of slow relaxing reflexes. J R Soc Med 1995; 88: 272–274.

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Brain L, Jellinek EH, Ball K. Hashimoto’s disease and encephalopathy. Lancet 1966; ii: 512–514.

    Article  Google Scholar 

  4. Azuma T, Uemichi T, Funauchi M, Doi S, Matsubara T. Myelopathy associated with Hashimoto’s disease. J Neurol Neurosurg Psychiatry 2000; 68: 679–683.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Ramesh Aggarwal MD.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jain, N., Aggarwal, R., Jain, S.K. et al. Reversible myelopathy: an uncommon accompaniment of hypothyroidism. Egypt J Intern Med 26, 86–87 (2014).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: