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KMID : 1044320200220010024
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Annals of Clinical Neurophysiology
2020 Volume.22 No. 1 p.24 ~ p.28
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Febrile Hashimoto’s encephalopathy mimicking infectious encephalitis
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Lee Jung-Ju
Youn Michelle So-Jung
Park Jong-Moo
Kwon O-Hyun
Lee Woong-Woo
Kang Kyu-Sik
Kim Byung-Kun
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Abstract
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Hashimoto’s encephalopathy (HE) is a heterogeneous encephalopathy with diverse clinical presentations. Here we report on a 69-year-old woman who presented with confusion, aphasia, fever, and focal ictal discharges. Cerebrospinal fluid analysis and a workup for other fever origins revealed no abnormality and a high level of thyroperoxidase antibody was detected, which findings led to a diagnosis of HE. The symptoms subsided after treatment. This study highlights the importance of considering HE in patients presenting with fever and abnormal EEG findings.
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KEYWORD
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Electroencephalography, Encephalopathy, Fever
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