Tremor and myoclonus heralding Hashimoto's encephalopathy.
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.
Gücüyener
K
K
Department of Pediatric Neurology, Gazi University Medical Faculty, Ataturk University Medical Faculty, Turkey.
Serdaroğlu
A
A
Bideci
A
A
Yazman
Y
Y
Soysal
A S
AS
Cinaz
P
P
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*
D005938:Glucocorticoids; D008775:Methylprednisolone