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Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
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Hashimoto's encephalopathy with psychiatric presentation.

Apala Singh1, Linkan Verma2

  • 1Department of Psychiatry, University College of Medical Sciences, Guru Teg Bahadur Hospital, New Delhi, India.

Industrial Psychiatry Journal
|July 8, 2022
PubMed
Summary

Hashimoto's encephalopathy, a rare neurological disorder, can manifest with psychiatric symptoms and dementia. Early diagnosis and steroid treatment lead to significant recovery, improving patient prognosis.

Keywords:
Hashimoto's encephalopathyneuropsychiatric presentationsteroid-responsive

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Area of Science:

  • Neurology
  • Immunology
  • Psychiatry

Background:

  • Hashimoto's encephalopathy is a rare autoimmune neurological condition.
  • It presents with diverse neuropsychiatric symptoms, excluding CNS infection or tumors.

Observation:

  • A 55-year-old male exhibited progressive dementia and psychiatric disturbances.
  • The patient's presentation mimicked other neurological and psychiatric disorders.

Findings:

  • Intravenous steroids and low-dose oral risperidone were administered.
  • Prompt diagnosis and management led to clinical improvement.

Implications:

  • This case underscores the importance of considering Hashimoto's encephalopathy in patients with unexplained encephalopathy.
  • Timely diagnosis and treatment with steroids can result in excellent remission rates and prognosis.