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KMID : 0391520140220040214
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Journal of the Korean Child Neurology Society
2014 Volume.22 No. 4 p.214 ~ p.218
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Successful Treatment of Steroid-Resistant Hashimoto’s Encephalopathy with Plasmapheresis
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Kim Sun-Ja
Yu Hee-Joon
Lee Ji-Won
Lee Mun-Hyang
Lee Jee-Hun
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Abstract
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Hashimoto’s encephalopathy is a rare neurologic disease, associated with elevated titers of antithyroid antibodies and acute encephalopathy. It presents with various clinical manifestations, including behavioral and cognitive changes,
seizures, pyramidal tract dysfunction, involuntary movements, and cerebellar signs. Steroids are the first-line treatment and other options are immunoglobulins and plasmapheresis. We described symptoms and outcomes on teenage-girl
with steroid-resistant hashimoto’s encephalopathy who showed remarkable improvement with plasmapheresis.
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KEYWORD
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Hashimoto’s encephalopathy, Steroid, Intravenous immunoglobulins, Plasmapheresis
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