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Hashimoto’s Encephalopathy Presenting with Unusual Behavioural Disturbances in an Adolescent Girl
المؤلفون المشاركون
Karthik, Murugan Selvaraj
Nandhini, Kulothungan
Subashini, Viswanath
Balakrishnan, Ramasamy
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-05-21
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Hashimoto’s encephalopathy (HE) is a rare autoimmune disorder with neurological and neuropsychiatric manifestations and elevated titres of anti-thyroid antibodies.
Here we are reporting a case of HE in a 19-year-old girl who presented with seizure-like episodes, confusion, and behavioural disturbances with catatonic symptoms such as posturing, echopraxia, echolalia, and ambivalence.
Patient did not respond to antipsychotics and anticonvulsants.
On further investigation, patient was found to have high serum anti-TPO antibodies of about 1261 U/mL with euthyroid status, which supported a suspicion of HE.
Our consultant neurologist confirmed the diagnosis and she was started on injection of methylprednisolone 750 mg OD.
Since patient started showing clinical improvement, her antipsychotic medications were tapered off.
On follow-up, patient has recovered and is functioning well.
Since HE is a diagnosis of exclusion, very high anti-TPO antibodies and good response to steroids supported the diagnosis of HE in this patient after excluding other etiological possibilities.
This case has been reported because the clinical presentation was predominantly neurobehavioural manifestations which is uncommon with HE.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Karthik, Murugan Selvaraj& Nandhini, Kulothungan& Subashini, Viswanath& Balakrishnan, Ramasamy. 2017. Hashimoto’s Encephalopathy Presenting with Unusual Behavioural Disturbances in an Adolescent Girl. Case Reports in Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146663
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Karthik, Murugan Selvaraj…[et al.]. Hashimoto’s Encephalopathy Presenting with Unusual Behavioural Disturbances in an Adolescent Girl. Case Reports in Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1146663
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Karthik, Murugan Selvaraj& Nandhini, Kulothungan& Subashini, Viswanath& Balakrishnan, Ramasamy. Hashimoto’s Encephalopathy Presenting with Unusual Behavioural Disturbances in an Adolescent Girl. Case Reports in Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146663
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1146663
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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