Abstract
Atypical neurological presentations of hypothyroidism include myelopathy which has been seldom reported as presenting feature in patients. This case was one of those atypical presentations of hypothyroidism in which patient presented with neurological complication viz myelopathy which was timely diagnosed and treated. The symptoms including neurological findings reversed with thyroxin replacement. The case highlights the varied and vivid manifestations of hypothyroidism which treating physicians should be aware of while treating patients.
Highlights
Hypothyroidism is usually diagnosed clinically on the basis of its typical symptoms of weight gain, hoarseness of voice, and delayed reflexes on examination
This patient presented with hoarseness of voice along with weight gain, but surprisingly he had exaggerated reflexes and extensor plantars
Hypothyroidism is usually diagnosed by its common clinical manifestations such as weight gain, constipation, fatigue, menorrhagia, dysarthria, and cold intolerance
Summary
Nimisha Jaina,b, Ramesh Aggarwala,b, Sachin Kumar Jaina,b, Nitin Gargb,c, Aadhaar Dhooriaa,b, Kajal Prasadb,c aDepartment of Medicine, Lady Hardinge Medical College and Associated Smt S.K. Hospital bDr. Ram Manohar Lohia Hospital cPGIMER, New Delhi, India. Atypical neurological presentations of hypothyroidism include myelopathy which has been seldom reported as presenting feature in patients. This case was one of those atypical presentations of hypothyroidism in which patient presented with neurological complication viz myelopathy which was timely diagnosed and treated. The symptoms including neurological findings reversed with thyroxin replacement. The case highlights the varied and vivid manifestations of hypothyroidism which treating physicians should be aware of while treating patients
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