| CASE REPORT |
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| Year : 2016 | Volume
: 3
| Issue : 3 | Page : 90-93 |
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Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis
Naveed Mohsin, Javvid Muzamil Dandroo, Nawaz Ahmad Sheikh
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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