JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Abstract

Auto-immune Hypothyroidism is one of the common causes of hypothyroidism. The usual clinical features of auto-immune hypothyroidism are constipation, fatigue, cold intolerance and weight gain. Rarely it can present with neurologic problems like reversible cerebellar ataxia, dementia, peripheral neuropathy, psychosis and coma. A 37-year-old lady presented with the history of gait-ataxia and generalized body pains. Investigations revealed hypothyroidism. Anti-TPO antibody was positive. Thyroid replacement therapy was started and patient improved completely within 2 weeks. Case report is targeted to spread awareness that hypothyroidism should be considered in all patients who present with acute onset of cerebellar ataxia.

Keywords: Ataxia, tremor, hypothyroidism