KMID : 1031220120160020063
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Journal of Korean Epilepsy Society 2012 Volume.16 No. 2 p.63 ~ p.66
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Nonconvulsive Status Epilepticus as the First Manifestation of Hashimoto¡¯s Encephalopathy
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Lee Jung-Gon
Shin Dong-Won Seo Jae-Young Lee Kyung-Bok Jang Il-Mi Roh Hak-Jae Ahn Moo-Young
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Abstract
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Hashimoto¡¯s encephalopathy (HE) is an uncommon syndrome accompanied by Hashimoto¡¯s thyroiditis. It is an immune-mediated disorder characterized by subacute onset of confusion, altered consciousness, seizures and myoclonus. However, the diagnosis is often difficult because clinical manifestations are heterogeneous and nonspecific. Several reports of Hashimoto¡¯s encephalopathy presenting with focal or generalized seizures are described, but only few have focused on status epilepticus as the first clinical manifestation. We report a 60-year-old female patient who developed decreased consciousness with nonconvulsive status epilepticus due to Hashimoto¡¯s encephalopathy and was successfully treated with high doses of intravenous steroid.
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KEYWORD
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Hashimoto¡¯s encephalopathy, Nonconvulsive status epilepticus, Thyroiditis
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