Case Report
Year: 2023 | Month: June | Volume: 13 | Issue: 6 | Pages: 136-139
DOI: https://doi.org/10.52403/ijhsr.20230624
Reversible Speech Dysfunction in a Case of Hashimoto’s Encephalopathy: A Rare Manifestation
Kumar Anupam1, Santhosh Kumar Singh2, Rohit Vashisht3, Suresh K Srinivasan4, Balakrishnan Arivalagan5, Srishthi Bhardwaj6, Vamsi Kota7
1Dept of Internal Medicine, Command Hospital Pune
2,3Dept of Internal Medicine AFMC, Pune
4Dept of Anesthesiology, Trinity Health Systems, Steubenville, Ohio
5Dept of Internal Medicine AFMC, Pune
6Dept of Internal Medicine, Chennai Medical College, Thirchy
7Dept of Internal Medicine Augusta University, Georgia
Corresponding Author: Dr Balakrishnan Arivalagan
ABSTRACT
Thyroid hormone plays a significant role in the neurocognitive development. Language disorders with thyroid agenesis and congenital hypothyroidism are well documented in the literature however language dysfunction with adult hypothyroidism is very rarely reported in the literature. Here we present a rare case of language dysfunction in a 33 years old male with hypothyroidism with elevated Anti thyroid peroxidase antibody (TPO) antibody titer with no other significant abnormality on thorough examination and detailed evaluation. He had no response with thyroxine replacement alone but responded dramatically with steroid therapy in anti-inflammatory doses. This case possibly highlights the probable role of steroid apart from standard indication like steroid responsive encephalopathy.
Key words: Thyroid Hormone, Language disorder, Hypothyroidism, Anti TPO, Steroids
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