ReviewJournal of neurosciences in rural practice
Psychiatric Presentations Heralding Hashimoto's Encephalopathy: A Systematic Review and Analysis of Cases Reported in Literature.
Review in Journal of neurosciences in rural practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 47 citations in OpenAlex.
- Hashimoto's Encephalopathy-Induced Personality Changes: A Rare Case Report.Indian journal of psychological medicine · 2025Article
- Hashimoto's encephalopathy in psychiatric inpatients: neuropsychiatric morbidity, diagnostic challenges and treatment.Frontiers in psychiatry · 2025Article
- Pseudo-endocrine Disorders: Recognition, Management, and Action.Journal of the Endocrine Society · 2024Article
- Steroid responsive encephalopathy associated with autoimmune thyroiditis (SREAT) presenting as subacute psychosis: Case report and literature review.Clinical case reports · 2024Article
- Myxedema Psychosis: Diagnostic Challenges and Management Strategies in Hypothyroidism-Induced Psychosis.Cureus · 2024Article
- Observational
- Hashimoto's encephalopathy presenting as acute mania following recovery from COVID-19.Asian journal of psychiatry · 2022Article
- Complexities of cooccurrence of catatonia and autoimmune thyroiditis in bipolar disorder: A case series and selective review.Brain, behavior, & immunity - health · 2022Review
- Steroid-responsive encephalopathy associated with autoimmune thyroiditis presenting with a postpartum psychosis.BMJ case reports · 2022Article
- Challenges in corticosteroid dose regulation in a patient with autoimmune thyroid disease and neuropsychiatric syndrome: A running commentary.Clinical case reports · 2021Article
- Hashimoto's encephalopathy: A rare cause of refractory status epilepticus.CNS neuroscience & therapeutics · 2021Article
- Myxedema Psychosis: Systematic Review and Pooled Analysis.Neuropsychiatric disease and treatment · 2021Review
- Hashimoto's encephalopathy presented with mutism: a case report.General psychiatry · 2021Article
- Autoantibody-associated psychiatric symptoms and syndromes in adults: A narrative review and proposed diagnostic approach.Brain, behavior, & immunity - health · 2020Article
- Autoimmune encephalitis as a differential diagnosis of schizophreniform psychosis: clinical symptomatology, pathophysiology, diagnostic approach, and therapeutic considerations.European archives of psychiatry and clinical neuroscience · 2020Review
- Medical comorbidities in patients with psychogenic non-epileptic seizures (functional seizures).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020Article
- Hashimoto's Encephalopathy Mimicking Viral Encephalitis: A Case Report.Frontiers in neuroscience · 2020Article
- [Autoantibody-associated schizophreniform psychoses: clinical symptomatology].Der Nervenarzt · 2019Article
- Psychotic Symptoms of Hashimoto's Encephalopathy: A Diagnostic Challenge.Soa--ch'ongsonyon chongsin uihak = Journal of child & adolescent psychiatry · 2019Article
- Hashimoto's Encephalopathy Revealed by Hypochondriacal Delusion: A Case Report Involving a Male Patient.American journal of men's healthArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hashimoto's encephalopathy (HE) may often present initially with psychiatric symptoms. These presentations are often variable in clinical aspects, and there has been no systematic analysis of the numerous psychiatric presentations heralding an eventual diagnosis of HE which will guide clinicians to make a correct diagnosis of HE. This systematic review was done to analyze the demographic characteristics, symptom typology, and clinical and treatment variables associated with such forerunner presentations. Electronic databases such as PubMed, ScienceDirect, and Google Scholar databases were searched to identify potential case reports that described initial psychiatric presentations of HE in English language peer-reviewed journals. The generated articles were evaluated and relevant data were extracted using a structured tool. We identified a total of forty articles that described 46 cases. More than half of the total samples (54.4%) were above the age of 50 years at presentation. The most common psychiatric diagnosis heralding HE was acute psychosis (26.1%) followed by depressive disorders (23.9%). Dementia (10.9%) and schizophrenia (2.2%) were uncommon presentations. Antithyroid peroxidase antibodies were elevated in all patients but not antithyroglobulin antibodies. Preexisting hypothyroidism was absent in majority of cases (60.9%). Steroid doses initiated were 500-1000 mg of intravenous methylprednisolone for majority (52.1%) of patients while oral steroid maintenance was required for a significant minority (39.1%). Psychiatric manifestations of HE may be heterogeneous and require a high index of clinical suspicion, especially in older adults. A range of clinical and treatment variables may assist clinicians in making a faster diagnosis and instituting prompt and effective management.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.