HASHIMOTO’S ENCEPHALOPATHY PRESENTING WITH NEUROCOGNITIVE SYMPTOMS: A CASE REPORT

Zohair Ahmed and Mohammed Maroof Mudassir*

A 45-year-old female presented with a one-month history of cough with expectoration, followed by intermittent fever, chest pain, and progressive neurological symptoms, including confusion and drowsiness. Her condition worsened with sudden-onset abdominal pain, vomiting, and bladder incontinence, prompting hospitalization. Initial assessments revealed accelerated hypertension, altered sensorium, and elevated anti-thyroid antibodies. Imaging showed old infarcts and intraparenchymal hemorrhage. After ruling out alternative causes, she was diagnosed with Hashimoto’s Encephalitis, a rare autoimmune disorder characterized by cognitive impairment and neurologic deficits. She responded to glucocorticoid therapy and supportive treatment. This case highlights the importance of early recognition and intervention in autoimmune encephalitis.