Hashimoto's encephalopathy versus catatonia: A diagnostic dilemma

Hashimoto's encephalopathy is a rare life-threatening disease entity with clinical presentation like psychiatric as well as neurological diseases, thus making it a challenging clinical scenario for physicians leading to delay in diagnosis and management of the patient. The incidence overall is under-estimated because of low overall awareness about the disease. Here, we report a 44-year-old female who was being treated for psychiatric disorders because of clinical presentation like catatonia but ultimately was diagnosed with Hashimoto's encephalopathy and responded very well to steroids.

Automated summary

The patient presented with clinical symptoms resembling psychiatric and neurological disorders, leading to delayed diagnosis and treatment. Ultimately, she was diagnosed with Hashimoto's encephalopathy and responded well to steroid therapy.