Hashimoto’s encephalopathy presenting with multiple cranial nerve palsies and hemiparesis: A case report
نویسندگان
چکیده
Introduction: Hashimoto’s encephalopathy is a steroidresponsive encephalopathy associated with elevated blood concentrations of antithyroid antibodies. The patients are usually euthyroid or mildly hypothyroid. A wide array of clinical features of Hashimoto’s encephalopathy has been reported till date. The pleomorphic manifestations may be behavioral and cognitive changes, myoclonus, seizures, pyramidal tract dysfunction, involuntary movements, cerebellar signs, psychosis and coma, with relapsing and progressive course. The diagnosis is often overlooked at presentation but is crucial, given that this is a treatable disease. Case Report: We describe a case of Hashimoto‘s encephalopathy presenting with multiple cranial nerve palsies and right sided hemiparesis in a 32yearold male patient from West Bengal, India. Conclusion: This is the first reported case of multiple cranial nerve involvement in a case of Hashimoto’s encephalopathy.
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