title: Tremor and myoclonus heralding Hashimoto's encephalopathy.
abstract: We report the clinical laboratory, electroencephalography (EEG), magnetic resonance imaging (MRI) and single photon emission computerized tomography (SPECT) findings in a 15 year-old euthyroid girl with autoimmune thyroiditis and encephalopathy. She had stupor, coma and generalized tonic clonic seizure preceded by tremor and myoclonus with a previous misdiagnosis of epilepsy and encephalitis. Response to steroid after the 3rd relapse was excellent. Another four children in the literature are also discussed.
authors.affiliation: Department of Pediatric Neurology, Gazi University Medical Faculty, Ataturk University Medical Faculty, Turkey.
authors.forename: K
authors.initials: K
authors.lastname: Gücüyener
authors.forename: A
authors.initials: A
authors.lastname: Serdaroğlu
authors.forename: A
authors.initials: A
authors.lastname: Bideci
authors.forename: Y
authors.initials: Y
authors.lastname: Yazman
authors.forename: A S
authors.initials: AS
authors.lastname: Soysal
authors.forename: P
authors.initials: P
authors.lastname: Cinaz
mesh_terms: D000293:Adolescent; D001927:Brain Diseases / Q000175:diagnosis / Q000209:etiology*; D004569:Electroencephalography; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D009207:Myoclonus / Q000209:etiology*; D013967:Thyroiditis, Autoimmune / Q000150:complications* / Q000188:drug therapy; D015899:Tomography, Emission-Computed, Single-Photon; D014202:Tremor / Q000209:etiology*
chemical_list: D005938:Glucocorticoids; D008775:Methylprednisolone