Hashimoto's encephalopathy presenting with acute confusional state in a patient with hypothyroidism

Hashimoto's encephalopathy is a neurological disorder of unknown etiology associated with thyroid autoimmunity. The disease may present as two types, a sudden vasculitic type or a progressive subacute type associated with cognitive dysfunction, confusion and memory loss. We report a case of a 6...

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Bibliographic Details
Main Authors: Naglaa Fathy Barseem (Author), Mohamed Ahmed Helwa (Author)
Format: Book
Published: SpringerOpen, 2015-06-01T00:00:00Z.
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Summary:Hashimoto's encephalopathy is a neurological disorder of unknown etiology associated with thyroid autoimmunity. The disease may present as two types, a sudden vasculitic type or a progressive subacute type associated with cognitive dysfunction, confusion and memory loss. We report a case of a 6 year old previously healthy Egyptian female , who developed a subacute onset of declining upper brain function. Serologic studies demonstrated high levels of antithyroid antibodies. Electroencephalographic and magnetic resonance image findings were consistent with Hashimoto's encephalopathy. Hashimoto's encephalopathy is a diagnosis of exclusion. This unusual disorder is often underrecognized because of multiple neurocognitive manifestations; therefore, it is important to be aware of the clinical manifestations to make a correct diagnosis.
Item Description:1110-6638
10.1016/j.epag.2015.04.002