A Case of Encephalopathy

  • 62 years female,
  • Hypertensive, Diabetic on diet Control
  • Hypothyroid
  • Admitted on 23/3/10
  • Symptomatic, 3 months
  • Confusional State
  • Episodic Tremors

 

No fever/Headache/Vomiting/ seizures

  • On Examination – Conscious
  • OPD Mental States exam WN L
  • No focal cns deficit
  • Investigations: – Haemogram, KFT, LFT, Collagen Profile
  • MRI Brain: Normal
  • EEG – Twice with interval of 1 month – Slow background
  • Anti TPO Ab – 663 µ/ml < 30 (Normal)
  • Anti TG Ab – 1122 µ/ml <30 (Normal)

 

 HASHIMOTO ENCEPHALOPATHY

Treated with steroids – Recovered.
 

Hashimoto – Enecephalopathy

  • Ataxia, Psychosis, Myoclonus Dementia, Confusion, Coma
  • Auto immune – Associated with other Autoimmune disease
  • Without Hypothyroid
  •  Treatment Steroid