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International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

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Case Report
 
Hashimoto's encephalopathy presenting with multiple cranial nerve palsies and hemiparesis: A case report
Santanu Saha1, Riddhi Das Gupta1, Adreesh Mukherjee1, Arijit Singha1, Dhiman Das1, Mrinal Kanti Roy1
1Department of Medicine, Institute of PostGraduate Medical Education and Research, SSKM Hospital, 244 AJC Bose Road, Kolkata-700020, West Bengal, India.

doi:10.5348/ijcri-2012-05-122-CR-7

Address correspondence to:
Riddhi Das Gupta
103/19 Nabalia Para Road
Barisha, Kolkata-700008
West Bengal
India
Phone: +91-8017144032
Email: riddhi_dg@rediffmail.com

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How to cite this article:
Saha S, Gupta RD, Mukherjee A, Singha A, Das D, Roy MK. Hashimoto's encephalopathy presenting with multiple cranial nerve palsies and hemiparesis: A case report. International Journal of Case Reports and Images 2012;3(5):31–35.


Abstract
Introduction: Hashimoto's encephalopathy is a steroid-responsive 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 32-year-old 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.

Key Words: Hashimoto's encephalopathy, Cranial, Palsies, Nerve, Multiple, Hemiparesis

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Author Contributions:
Santanu Saha - Substantial contributions to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Riddhi Das Gupta - Substantial contributions to conception and design, acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Adreesh Mukherjee – Substantial contributions to conception and design, analysis and interpretation of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Arijit Singha - Substantial contributions to conception and design, acquisition of data, Drafting the article, Final approval of the version to be published
Dhiman Das - Substantial contributions to conception and design, analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Mrinal Kanti Roy - Substantial contributions to conception and design, analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of Submission.
Source of support:
None
Conflict of interest:
The authors declare no conflict of interest.
Copyright:
© Santanu Saha et al. 2012; This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



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