Department of Neuroscience and Behavior, Early Intervention Psychiatric Service, Ribeirão Preto Medical School, University of São Paulo, Brazil
Case Report
Catatonia Secondary to Hashimoto's Encephalitis: A Case Report
Author(s): Fernanda Naira Zambelli Ramalho*, Heloisa Helena Silva Laurenti, Alcion Sponholz Junior, Cristina Marta Del-Ben and Gabriel Elias Correa de Oliveira
Introduction: Catatonia is a neuropsychiatric syndrome with motor and behavioral symptoms. In addition to psychiatric illnesses, this syndrome can also be associated with general medical conditions. Few cases of catatonia associated with autoimmune disorders have been reported.
Case report: We report the case of a 56-year-old female patient diagnosed with Hashimoto's encephalitis, who presented firstly with mystical delusions and tachypsychia. Despite the proper treatment for psychosis, the symptoms worsened and she developed catatonia. Complementary investigations showed high titers of anti-thyroperoxidase antibodies. Hashimoto encephalitis was suspected and intravenous prednisolone was started. As there was an only partial improvement in psychiatric symptoms, plasmapheresis was chosen. The patient evolved with a drastic improvement in sympto.. Read More»
DOI:
10.37421/2165-7920.2020.10.1393
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report