Title of article :
Hashimoto Encephalopathy with an Unusual Presentation of Status Epilepticus Seizures: A Case Report
Author/Authors :
NAZERI, Masoume Clinical Neurology Research Center - Dept. of Neurology - Shiraz University of Medical Sciences, Shiraz , ABOLHASANI FOROUGHI, Amin Medical Imaging Research Center - Dept. of Radiology - Shiraz University of Medical Sciences, Shiraz , HEIDARI, Hora Clinical Neurology Research Center - Dept. of Neurology - Shiraz University of Medical Sciences, Shiraz , SAJADIANFARD, Sarvin Clinical Neurology Research Center - Dept. of Neurology - Shiraz University of Medical Sciences, Shiraz , EGHBALI, Tannaz Student Research Committee - Shiraz University of Medical Sciences, Shiraz , ARASTEH, Peyman Non Communicable Diseases Research Center - Fasa University of Medical Sciences, Fasa
Abstract :
A 33 yr old man, previously diagnosed with hypothyroidism, presented with decreased level of consciousness and ge-neralized tonic-clonic (GTC) seizure to Namazi hospital, Shiraz, Iran, during April 2015. The patient later referred with another episode of seizure like attack for which he received phenytoin, carbamazepine and levothyroxine and was discharged. During his last admission, the patient was admitted with chief complaints of decreased consciousness and four GTC attacks. On admission, the patients had aphasia, ataxia, loss of verbal communication, eye contact and complete loss of obedience. Thyroid function tests showed low levels of T3 and T4 with high levels of thyroid stimu-lating hormone. Other blood tests were all either normal or slightly abnormal. Lumbar puncture and CSF analysis had a high titer of Anti-TPO antibodies. With high suspicion of Hashimoto encephalopathy, pulsed methyl prednisolone (10 mg) was administered, however the patient showed little improvement. Therefore, plasmaphresis was started, to which the patient showed dramatic response.
Keywords :
Hashimoto encephalopathy , Epilepsy , Iran
Journal title :
Astroparticle Physics
