title: Paediatric Hashimoto encephalopathy, refractory epilepsy and immunoglobulin treatment - unusual case report and review of the literature.
abstract: BACKGROUND
  Hashimoto encephalopathy (HE) is a rare autoimmune disorder. It is defined as a 'corticosteroid-responsive encephalopathy associated with thyroiditis'.
  
  
  METHODS
  We describe a boy who suffered from HE, responded only to intravenous immunoglobulin therapy. This is the first case report of immunoglobulin therapy in paediatric HE.
  
  
  CONCLUSIONS
  After review of the literature, we recommend that unexplained encephalopathy in children should lead to evaluation of thyroid autoantibody titres. Immunoglobulins should be considered.
authors.affiliation: The Neuro-Pediatric Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. itberg@hadassah.org.il
authors.forename: I
authors.initials: I
authors.lastname: Berger
authors.forename: Y
authors.initials: Y
authors.lastname: Castiel
authors.forename: T
authors.initials: T
authors.lastname: Dor
mesh_terms: D002648:Child; D004660:Encephalitis / Q000150:complications / Q000628:therapy*; D004827:Epilepsy / Q000209:etiology; D050031:Hashimoto Disease / Q000150:complications / Q000628:therapy*; D006801:Humans; D007116:Immunization, Passive; D016756:Immunoglobulins, Intravenous; D008297:Male; D016896:Treatment Outcome
chemical_list: D016756:Immunoglobulins, Intravenous