Reversible dementia with psychosis: Hashimoto's encephalopathy.
A case of presumed Hashimoto's encephalopathy (HE) is presented. The presentation included memory loss, delusions, functional decline and culminated in a generalized seizure. Anti-thyroid antibodies were detected and symptoms resolved with prednisolone. Patients with HE may present with prominent neuropsychiatric symptoms, attract psychiatric diagnoses and present to psychiatric services. Primarily a diagnosis of exclusion, HE should be considered in cases of encephalopathy in which standard investigations are negative.
Mocellin
Ramon
R
Neuropsychiatry Unit, Melbourne Neuropsychiatry Center, Royal Melbourne Hospital, Melbourne, Austrailia. Ramon.Mocellin@nh.org.au
Lubman
Dan I
DI
Lloyd
John
J
Tomlinson
E Bruce
EB
Velakoulis
Dennis
D
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001323:Autoantibodies / Q000032:analysis; D001925:Brain Damage, Chronic / Q000188:drug therapy / Q000209:etiology / Q000523:psychology*; D003702:Delusions / Q000523:psychology; D003704:Dementia / Q000188:drug therapy / Q000209:etiology / Q000523:psychology*; D005260:Female; D050031:Hashimoto Disease / Q000150:complications / Q000188:drug therapy / Q000523:psychology*; D006801:Humans; D008568:Memory / Q000502:physiology; D011239:Prednisolone / Q000627:therapeutic use; D011618:Psychotic Disorders / Q000188:drug therapy / Q000209:etiology / Q000523:psychology*; D012640:Seizures / Q000209:etiology
D000893:Anti-Inflammatory Agents; D001323:Autoantibodies; D011239:Prednisolone