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Hashimoto's encephalopathy with psychiatric presentation
1Department of Psychiatry, University College of Medical Sciences, Guru Teg Bahadur Hospital, New Delhi, India.
Industrial Psychiatry Journal
|July 8, 2022
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.
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.
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