Annals of Clinical Neurophysiology
- Volume 9 Issue 2
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- Pages.85-88
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- 2007
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- 2508-691X(pISSN)
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- 2508-6960(eISSN)
Myoclonus as the Presenting Symptom of Hashimoto's Encephalopathy
근육간대경련으로 발현된 하시모토 뇌병증
- Chung, Curie (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
- Nam, Jungmoo (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
- Hwang, Suntae (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
- Kim, Byung-Kun (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
- Koo, Ja-Seong (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
- Kwon, Ohyun (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
- Park, Jong-Moo (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
- Lee, Jung Ju (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine)
- 정규리 (을지대학교 의과대학 신경과학교실) ;
- 남정무 (을지대학교 의과대학 신경과학교실) ;
- 황선태 (을지대학교 의과대학 신경과학교실) ;
- 김병건 (을지대학교 의과대학 신경과학교실) ;
- 구자성 (을지대학교 의과대학 신경과학교실) ;
- 권오현 (을지대학교 의과대학 신경과학교실) ;
- 박종무 (을지대학교 의과대학 신경과학교실) ;
- 이정주 (을지대학교 의과대학 신경과학교실)
- Published : 2007.12.30
Abstract
Hashimoto's encephalopathy has been described as a steroid-responsive syndrome of encephalopathy associated with high serum concentration of anti-thyroid antibodies. We report a 67-year-old woman who presented with myoclonus involving both upper extremities. Brain MRI and EEG showed no diagnostic abnormalities. Thyroid functions were normal, but anti-thyroid antibodies were elevated both in serum and in CSF. Hashimoto's encephalopathy can present with myoclonus even without outstanding encephalopathic feature, therefore anti-thyroid antibody test should be included in diagnostic test in patient with myoclonus.