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Case Studies | Medicine Science | India | Volume 6 Issue 1, January 2017

An Unusual Cause for Altered Sensorium - A Case Report

Dr. S. Chandara Gandhimathi | Dr. R. B. Sudagar Singh | Dr. Preetam Arthur

Abstract: Hashimotos encephalopathy is an autoimmune disorder, with high titres of antithyroid peroxidase antibody, usually with a clinically and biochemically normal thyroid function. Here we present a case of hashimotos encephalopathy in a 34yr old man, who presented with acute onset of cognitive impairment on a background of psychiatric illness. Initially a probability of neuroleptic malignant syndrome and CNS infection were entertained, but finally patient had high titres of anti thyroid peroxidase antibodies. Hence, we should ascertain different differentials, and a high level of suspicion is required to diagnose hashimotos encephalopathy, unlike other autoimmune disorder. Though more common among female population, it should be encouraged as a differential even in male.

Keywords: HASHIMOTOS, ENCEPHALITIS, AUTOIMMUNE, ALTERED SENSORIUM, THYROID

Edition: Volume 6 Issue 1, January 2017,

Pages: 1964 - 1966