Journal
FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE
Volume 76, Issue 10, Pages 610-615Publisher
GEORG THIEME VERLAG KG
DOI: 10.1055/s-2008-1038253
Keywords
Hashimoto encephalopathy; dementia with Lewy bodies; Creutzfeldt-Jakob disease
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Introduction: Hashimoto encephalopathy is a rare disease that is associated with Hashimoto thyreoiditis. Dementia, disturbances of consciousness and epileptic seizures are the most common features. Case report: We report a case of Hashimoto encephalopathy in a 74-year-old woman who presented with psychotic episodes, visual hallucinations, dementia, tremor, rigidity and fluctuation of consciousness. After treatment with steroids, cognitive function became normal and other symptoms improved significantly. Conclusion: Hashimoto encephalopathy should be considered as a differential diagnosis of psychosis in combination with dementia and other neurological symptoms to dementia with Lewy bodies and Creutzfeldt-Jakob disease.
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