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Prominent Bilateral Hand Tremor in Hashimoto’s Encephalopathy: A Video Demonstration

Ramcharan, Kanterpersad; Hosein, Nadeem; Teelucksingh, Joel David; Rampersad, Fidel; Teelucksingh, Surujpal

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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Title
Tremor and Other Hyperkinetic Movements
DOI
https://doi.org/10.7916/D8PV6KJB

More About This Work

Academic Units
Center for Parkinson's Disease and Other Movement Disorders
Publisher
The Center for Digital Research and Scholarship
Published Here
November 7, 2016