Prominent Bilateral Hand Tremor in Hashimoto’s Encephalopathy: A Video Demonstration
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.
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Also Published In
- Tremor and Other Hyperkinetic Movements
More About This Work
- Academic Units
- Center for Parkinson's Disease and Other Movement Disorders
- The Center for Digital Research and Scholarship
- Published Here
- November 7, 2016