[Hashimoto encephalopathy–a difficult differential diagnosis. A case report of reversible dementia and psychosis].

Fortschr Neurol Psychiatr. 2008 Oct;76(10):610-5. Epub  2008 Oct 2.
[Article in German]

Source

Evangelisches Krankenhaus Königin Elisabeth Herzberge, Abt. für Psychiatrie, Psychotherapie und Psychosomatik, Berlin.

Abstract

INTRODUCTION:

Hashimoto encephalopathy is a rare disease that is associated with Hashimoto thyreoiditis. Dementia, disturbances of consciousness and epileptic seizures are the most common features.

CASE REPORT:

We report a case of Hashimoto encephalopathy in a 74-year-old woman who presented with psychotic episodes, visual hallucinations, dementia, tremor, rigidity and fluctuation of consciousness. After treatment with steroids, cognitive function became normal and other symptoms improved significantly.

CONCLUSION:

Hashimoto encephalopathy should be considered as a differential diagnosis of psychosis in combination with dementia and other neurological symptoms to dementia with Lewy bodies and Creutzfeldt-Jakob disease.

PMID:
18833507
[PubMed – indexed for MEDLINE]
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