Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis

Authors

Naveed Mohsin, Department of General Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
Javvid Muzamil Dandroo, Department of General Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
Nawaz Ahmad Sheikh, Department of General Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
Atif Rasool Kawoosa, Department of General Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
Ravouf Asimi, Department of Neurology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, Indi

Abstract

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.

Recommended Citation

Mohsin, Naveed; Dandroo, Javvid Muzamil; Sheikh, Nawaz Ahmad; Kawoosa, Atif Rasool; and Asimi, Ravouf (2016) "Hashimoto's encephalopathy misdiagnosed as pyogenic meningoencephalitis," Indian Journal of Health Sciences and Biomedical Research KLEU: Vol. 9: Iss. 3, Article 18.
DOI: https://doi.org/10.4103/2349-5006.196327
Available at: https://kleijhsbr.researchcommons.org/journal/vol9/iss3/18

Pages

331

Last Page

334

Copyright

© 2016 Indian Journal of Health Sciences and Biomedical Research KLEU | Published by Wolters Kluwer – Medknow