TY - BOOK AU - Chow, Robert Dobbin AU - Maroz, Natallia TI - Autoimmune encephalopathy associated with thyroid autoantibodies as the cause of reversible cognitive impairment SN - 2000-9666 PY - 2012/// KW - PubMed-not-MEDLINE -- Not indexed KW - MedStar Good Samaritan Hospital KW - Case Reports N2 - We herewith describe a patient with acute confusion, expressive aphasia and generalized seizures. A through workup excluded most causes of encephalopathy. He was, however, found to have TSH=18.6 MIU/ml, T3reverse=0.44nmol/L, T4=0.8ng/dl and Anti-Thyroid-Peroxidase AB titer >1000 IU/ml. Based on the above findings the patient was diagnosed with Hashimoto's encephalopathy and his mental status showed dramatic improvement (MMS 30/30) with high dose prednisone. Hashimoto's encephalopathy is rare disorder of presumed autoimmune origin characterized by cognitive decline, seizures, neuro-psychiatric symptoms, high titers of Anti-Thyroid-Peroxidase AB, and a positive response to steroids UR - https://dx.doi.org/10.3402/jchimp.v2i1.11453 ER -