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CASE REPORT
Year : 2016  |  Volume : 3  |  Issue : 3  |  Page : 90-93

Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis


Department of General Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Dr. Naveed Mohsin
Department of Internal Medicine, Sher-I-Kashmir Institute of Medical Sciences, Married Doctors Hostel, G-15, Soura,
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2225-6482.191371

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Hashimoto's encephalopathy is a controversial and under-recognized condition, associated with autoimmune thyroiditis. Presentation may be an insidious development of cognitive impairment or recurrent acute episodes of focal neurological deficit with confusion. Here, we present a case of middle-aged female that presented with headache, vomiting with alteration of sensorium and left side weakness and responded well to steroids. A negative microbiological screen of the cerebrospinal fluid (CSF) and serum along with raised CSF protein, elevated serum antithyroid antibodies, and characteristic electroencephalographic and neuroimaging findings yielded the diagnosis.


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