Open AccessA case of Hashimoto encephalopathy in a Malay woman with Graves disease
Author(s) -
Chai Soon Ngiu,
Norlinah Mohamed Ibrahim,
Wan Nur Nafisah Wan Yahya,
Hui Jan Tan,
Norlaila Mustafa,
Hamidon Basri,
Raymond Azman Ali
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.01.2009.1501
Subject(s) - medicine , encephalopathy , disease , presentation (obstetrics) , graves' disease , thyroid disease , pediatrics , malay , thyroid , pathology , surgery , linguistics , philosophy
Hashimoto encephalopathy (HE) is a poorly recognised steroid-responsive encephalopathy, with prominent neuropsychiatric features. Diagnosis is often difficult due to its heterogeneous clinical presentation, especially since the thyroid status or anti-thyroid antibody titres may not be related to the disease state. Here, the case of a 23-year-old Malay woman with Graves disease who presented with progressive encephalopathy diagnosed as HE is presented. She responded dramatically to high dose intravenous and then oral corticosteroid. A month after the initiation of treatment, she regained full independency.