A case of Hashimoto encephalopathy in a Malay woman with Graves disease | Zendy

CS Ngiu | Zendy; Normala Ibrahim | Zendy; W.N.N. Wan Yahya | Zendy; Hui Jeen Tan | Zendy; Norlaila Mustafa | Zendy; Hamidon Basri | Zendy; Azman Ali Raymond | Zendy

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A case of Hashimoto encephalopathy in a Malay woman with Graves disease

Author(s) -

CS Ngiu,

Normala Ibrahim,

W.N.N. Wan Yahya,

Hui Jeen Tan,

Norlaila Mustafa,

Hamidon Basri,

Azman Ali Raymond

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.

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