title: Meige's syndrome and hemichorea associated with hyperthyroidism.
abstract: Movement disorders are known to be associated with hyperthyroidism. However, the association of Meige's syndrome and hemichorea with hyperthyroidism has not been reported. We describe a young Chinese woman with hyperthyroidism, who presented with a unique combination of Meige's syndrome and hemichorea in the left limbs. Both neurologic manifestations were preceded by symptoms of hyperthyroidism, and resolved following treatment with methimazole for hyperthyroidism. Nevertheless, the neurologic symptoms recurred when she stopped taking methimazole, but abated when she returned to a euthyroid state after additional treatment with methimazole. The evolution of her clinical course indicated that the involuntary movements were in association with hyperthyroidism. This case is the first report of Meige's syndrome and hemichorea in a patient with hyperthyroidism, which raises the likelihood that hyperthyroidism may be a cause of Meige's syndrome and hemichorea. Furthermore, it emphasizes the need for greater attention to thyroid function in those afflicted with involuntary movements in order to optimize clinical management.
authors.affiliation: Department of Neurology, Tangdu Hospital, Fourth Military Medical University, Xi'an City, Shaanxi Province 710038, China.
authors.forename: Jianting
authors.initials: J
authors.lastname: Miao
authors.forename: Rui
authors.initials: R
authors.lastname: Liu
authors.forename: Jie
authors.initials: J
authors.lastname: Li
authors.forename: Ying
authors.initials: Y
authors.lastname: Du
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Zhuyi
authors.initials: Z
authors.lastname: Li
mesh_terms: D000328:Adult; D013956:Antithyroid Agents / Q000627:therapeutic use; D002819:Chorea / Q000150:complications* / Q000188:drug therapy / Q000523:psychology; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000188:drug therapy / Q000209:etiology* / Q000523:psychology; D008538:Meige Syndrome / Q000150:complications* / Q000188:drug therapy / Q000523:psychology; D008713:Methimazole / Q000627:therapeutic use; D013960:Thyroid Function Tests
chemical_list: D013956:Antithyroid Agents; D008713:Methimazole