Hashimoto encephalopathy is a syndrome of encephalopathy associated with elevated concentration of circulating serum

anti-thyroid antibodies usually responsive to steroid therapy. We report a 13-year-old girl with Hashimoto encephalopa-

thy and peripheral nervous system involvement. The child had experienced high-grade pyrexia, global headache and

sleeplessness. After admission she had an ileus with a distended urinary bladder, hallucinations and cognitive impair–

ment. She had reduced deep tendon reflexes and distal sensory deficiency.

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