Abstract
Three patients, one man aged 51 years, and two women aged 49 and 52 years, had severe fluctuating and progressive neurological and psychiatric symptoms. All three had normal thyroxine levels but elevated thyroid stimulating hormone levels and positive thyroid antibodies. Based on clinical, laboratory, MRI and EEG findings they were eventually diagnosed with Hashimoto's encephalopathy, associated with Hashimoto thyroiditis. Treatment with prednisone in addition to thyroxine suppletion resulted in a remarkable remission of their neuropsychiatric symptoms. The disease is probably underrecognised.
Translated title of the contribution | Epilepsy, episodic disorders of behaviour and consciousness but normal thyroxine levels: Reconsider the thyroid |
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Original language | Dutch |
Pages (from-to) | 5-8 |
Number of pages | 4 |
Journal | Nederlands Tijdschrift voor Geneeskunde |
Volume | 144 |
Issue number | 1 |
Publication status | Published - 1 Jan 2000 |