Hashimoto�s Encephalopathy: A rare Cause of  Delirium in the Post Operative Period

Dr. Khatib Khalid Ismail; Dr. Baviskar Ajit S; Dr. Borawake Kapil

Volume : III, Issue : III, March - 2013

Hashimoto�s Encephalopathy: A rare Cause of Delirium in the Post Operative Period

Dr. Khatib Khalid Ismail, Dr. Baviskar Ajit S, Dr. Borawake Kapil

Abstract :

Introduction: Hashimoto’s Encephalopathy is a rare, neuroendocrine disease, probably autoimmune in nature. It is seen in patients with high titre of antithyroid antibodies. Clinical manifestations include encephalopathic features like seizures, neuropsychiatric manifestations (like cognitive impairment, transient aphasia, ataxia, hallucinations & delusions), movement disorders (like myoclonus, tremors), sleep disturbances, headache, & coma. Case presentation: We present a case of a 78 years old, female, who presented with acute confusional state/ delirium in the postoperative period who had circulating antithyroid antibodies with a mild thyroid disorder and a partial response to steroids. Conclusion: Hashimoto’s Encephalopathy is a diagnosis of exclusion requiring a high index of suspicion. It is a potentially treatable cause of delirium.