Tremor and other hyperkinetic movements (New York, N.Y.) · 2016
Prominent Bilateral Hand Tremor in Hashimoto's Encephalopathy: A Video Demonstration.
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Ramcharan Kanterpersad, Hosein Nadeem, Teelucksingh Joel David, Rampersad Fidel, Teelucksingh Surujpal
Аннотация
BACKGROUND: Hashimoto's encephalopathy often presents with neuropsychiatric manifestations including seizures and movement disorders.
CASE REPORT: 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.
DISCUSSION: 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.
CASE REPORT: 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.
DISCUSSION: 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.