Doctor i am swaying: An interesting case of ataxia

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 andcoma. A 45-year-old male presented with the history of gait-ataxia.Investigations revealed the hypothyroidism. Anti-TPO antibody was positive. Thyroid replacement therapy was started and our patient improved completely within 3 weeks. The main aim of this case report is to highlight the fact that hypothyroidism has to be considered in all patients who present with acute onset of cerebellar ataxia.