title: A case of Hashimoto encephalopathy in a Malay woman with Graves disease.
abstract: Hashimoto encephalopathy (HE) is a poorly recognised steroid-responsive encephalopathy, with prominent neuropsychiatric features. Diagnosis is often difficult due to its heterogeneous clinical presentation, especially since the thyroid status or anti-thyroid antibody titres may not be related to the disease state. Here, the case of a 23-year-old Malay woman with Graves disease who presented with progressive encephalopathy diagnosed as HE is presented. She responded dramatically to high dose intravenous and then oral corticosteroid. A month after the initiation of treatment, she regained full independency.
authors.affiliation: Hospital UKM, Department of Medicine, Jalan Yaacob Latiff, Kuala Lumpur, 56000, Malaysia.
authors.forename: Chai Soon
authors.initials: CS
authors.lastname: Ngiu
authors.forename: Norlinah M
authors.initials: NM
authors.lastname: Ibrahim
authors.forename: Wan Nur Nafisah Wan
authors.initials: WN
authors.lastname: Yahya
authors.forename: Hui Jan
authors.initials: HJ
authors.lastname: Tan
authors.forename: Norlaila
authors.initials: N
authors.lastname: Mustafa
authors.forename: Hamidon
authors.initials: H
authors.lastname: Basri
authors.forename: Raymond Azman
authors.initials: RA
authors.lastname: Ali