Graves Disease with Hashimoto's Encephalopathy

Abstract

The authors report the case of an elderly diabetic lady who presented with generalized fatigability, loss of weight, memory disturbances, irrelevant talk and disorientation. She had goiter and proptosis. Her thyroid function tests revealed hyperthyroidism and markedly elevated anti TPO antibody levels. Imaging modalities and uptake study were suggestive of Graves' disease. The clinical findings, investigations of Graves' disease with Hashimoto's encephalopathy and treatment strategies are discussed here.