title: Prominent Bilateral Hand Tremor in Hashimoto's Encephalopathy: A Video Demonstration.
abstract: BACKGROUND
  Hashimoto's encephalopathy often presents with neuropsychiatric manifestations including seizures and movement disorders.
  
  
  METHODS
  We describe a patient who presented with bilateral hand tremor and mild cognitive defects that fulfilled the criteria for a diagnosis of Hashimoto's encephalopathy. There was a rapid response to glucocorticoid therapy with relapse following treatment withdrawal.
  
  
  CONCLUSIONS
  Recently published clinical criteria for the diagnosis of Hashimoto's encephalopathy include seizures, myoclonus, hallucinations, or stroke-like episodes but do not include tremor. Our case had mild cognitive dysfunction and a coarse tremor as the predominant clinical features, which probably represent mild disease.
authors: Neurology Unit, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago.
authors: Kanterpersad
authors: K
authors: Ramcharan
authors: Neurology Unit, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago.
authors: Nadeem
authors: N
authors: Hosein
authors: Endocrinology Unit, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago.
authors: Joel David
authors: JD
authors: Teelucksingh
authors: Interventional Radiology, University of the West Indies, St Augustine, Trinidad and Tobago; Department of Clinical Medical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago.
authors: Fidel
authors: F
authors: Rampersad
authors: Department of Clinical Medical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago.
authors: Surujpal
authors: S
authors: Teelucksingh
keywords: Hashimoto’s encephalopathy; Tremor; movement disorders; steroid‐responsive encephalopathy associated with autoimmune thyroiditis