Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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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
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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.

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