Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis

Hashimoto's encephalopathy is a controversial and underrecognized 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-a...

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Main Authors: Naveed Mohsin, Javvid Muzamil Dandroo, Nawaz Ahmad Sheikh, Atif Rasool Kawoosa, Ravouf Asimi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Health Sciences and Biomedical Research KLEU
Subjects:
Online Access:http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2016;volume=9;issue=3;spage=331;epage=334;aulast=Mohsin
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author Naveed Mohsin
Javvid Muzamil Dandroo
Nawaz Ahmad Sheikh
Atif Rasool Kawoosa
Ravouf Asimi
author_facet Naveed Mohsin
Javvid Muzamil Dandroo
Nawaz Ahmad Sheikh
Atif Rasool Kawoosa
Ravouf Asimi
author_sort Naveed Mohsin
collection DOAJ
description Hashimoto's encephalopathy is a controversial and underrecognized 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 electroencephalogram and neuroimaging findings yielded the diagnosis.
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spelling doaj.art-0fa205d3d4204b24b79ede6d5e07555c2022-12-21T23:25:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Health Sciences and Biomedical Research KLEU2542-62142542-62222016-01-019333133410.4103/2349-5006.196327Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitisNaveed MohsinJavvid Muzamil DandrooNawaz Ahmad SheikhAtif Rasool KawoosaRavouf AsimiHashimoto's encephalopathy is a controversial and underrecognized 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 electroencephalogram and neuroimaging findings yielded the diagnosis.http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2016;volume=9;issue=3;spage=331;epage=334;aulast=MohsinCerebrospinal fluidHashimoto's encephalopathynonvasculitic autoimmune meningoencephalitissteroid-responsive encephalopathy
spellingShingle Naveed Mohsin
Javvid Muzamil Dandroo
Nawaz Ahmad Sheikh
Atif Rasool Kawoosa
Ravouf Asimi
Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis
Indian Journal of Health Sciences and Biomedical Research KLEU
Cerebrospinal fluid
Hashimoto's encephalopathy
nonvasculitic autoimmune meningoencephalitis
steroid-responsive encephalopathy
title Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis
title_full Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis
title_fullStr Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis
title_full_unstemmed Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis
title_short Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis
title_sort hashimoto s encephalopathy misdiagnosed as pyogenic meningoencephalitis
topic Cerebrospinal fluid
Hashimoto's encephalopathy
nonvasculitic autoimmune meningoencephalitis
steroid-responsive encephalopathy
url http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2016;volume=9;issue=3;spage=331;epage=334;aulast=Mohsin
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AT nawazahmadsheikh hashimotosencephalopathymisdiagnosedaspyogenicmeningoencephalitis
AT atifrasoolkawoosa hashimotosencephalopathymisdiagnosedaspyogenicmeningoencephalitis
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