Tremor and myoclonus heralding Hashimoto's encephalopathy

Gucuyener K., Serdaroglu A., Bideci A., Yazman Y., Soysal A., Cinaz P.

JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM, vol.13, no.8, pp.1137-1141, 2000 (SCI-Expanded) identifier identifier identifier


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.