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Year : 2022  |  Volume : 31  |  Issue : 1  |  Page : 162-164

Hashimoto's encephalopathy with psychiatric presentation

1 Department of Psychiatry, University College of Medical Sciences, Guru Teg Bahadur Hospital, New Delhi, India
2 Department of Psychiatry, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India

Correspondence Address:
Dr. Apala Singh
C-117A, Gali No. 9, C Block, Patel Garden, Dwarka Mor, Delhi - 110 059
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ipj.ipj_61_20

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Hashimoto's encephalopathy is an uncommon neuropsychiatric syndrome with varied clinical presentations. It presents as an encephalopathy without central nervous system infection or tumor. Mostly observed ones are seizures, cognitive impairment, movement disorders, altered sensorium, and behavioral and psychotic symptoms. Treatment with steroids and immunosuppressants has led to excellent remission rates. Here, we report a case of a 55-year-old male who presented predominantly with psychiatric symptoms and rapidly progressing dementia. The patient was managed by intravenous steroids and low-dose oral risperidone. Prompt investigations and diagnoses helped in treating the condition. This case highlights that timely diagnosis can lead to an excellent prognosis in this condition.

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