Complex partial status epilepticus as a manifestation of Hashimoto's encephalopathy

Meng Han Tsai; Lien Hui Lee; Shan Der Chen; Cheng Hisen Lu; Ming Tsung Chen; Yao Chung Chuang

doi:10.1016/j.seizure.2007.05.018

Complex partial status epilepticus as a manifestation of Hashimoto's encephalopathy

Meng Han Tsai, Lien Hui Lee, Shan Der Chen, Cheng Hisen Lu, Ming Tsung Chen, Yao Chung Chuang^*

^*Corresponding author for this work

Chang Gung Memorial Hospital

Research output: Contribution to journal › Journal Article › peer-review

34 Scopus citations

Abstract

Epileptic seizures are a frequent manifestation of Hashimoto's encephalopathy. However, status epilepticus associated with Hashimoto's encephalopathy are not well characterized in medical literature. We described here a 16-year-old girl who presented with complex partial status epilepticus associated with elevated anti-thyroid antibodies. Ictal EEG showed lateralized high amplitude rhythmic delta waves over the right hemisphere and ictal single-photon emission computed tomography revealed regional hyperperfusion of the right parietal and temporal lobes. The patient was unresponsive to antiepileptic drug therapy but responded to intravenous steroid treatment. Screening of serum anti-thyroid antibodies for unexplained encephalopathy with epileptic seizures is suggested, as early recognition and prompt steroid treatment may lead to a favorable prognosis.

Original language	English
Pages (from-to)	713-716
Number of pages	4
Journal	Seizure
Volume	16
Issue number	8
DOIs	https://doi.org/10.1016/j.seizure.2007.05.018
State	Published - 12 2007
Externally published	Yes

Keywords

Complex partial seizure
Corticosteroid
Hashimoto's encephalopathy
Status epilepticus

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10.1016/j.seizure.2007.05.018

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title = "Complex partial status epilepticus as a manifestation of Hashimoto's encephalopathy",

abstract = "Epileptic seizures are a frequent manifestation of Hashimoto's encephalopathy. However, status epilepticus associated with Hashimoto's encephalopathy are not well characterized in medical literature. We described here a 16-year-old girl who presented with complex partial status epilepticus associated with elevated anti-thyroid antibodies. Ictal EEG showed lateralized high amplitude rhythmic delta waves over the right hemisphere and ictal single-photon emission computed tomography revealed regional hyperperfusion of the right parietal and temporal lobes. The patient was unresponsive to antiepileptic drug therapy but responded to intravenous steroid treatment. Screening of serum anti-thyroid antibodies for unexplained encephalopathy with epileptic seizures is suggested, as early recognition and prompt steroid treatment may lead to a favorable prognosis.",

keywords = "Complex partial seizure, Corticosteroid, Hashimoto's encephalopathy, Status epilepticus",

author = "Tsai, {Meng Han} and Lee, {Lien Hui} and Chen, {Shan Der} and Lu, {Cheng Hisen} and Chen, {Ming Tsung} and Chuang, {Yao Chung}",

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T1 - Complex partial status epilepticus as a manifestation of Hashimoto's encephalopathy

AU - Tsai, Meng Han

AU - Lee, Lien Hui

AU - Chen, Shan Der

AU - Lu, Cheng Hisen

AU - Chen, Ming Tsung

AU - Chuang, Yao Chung

PY - 2007/12

Y1 - 2007/12

N2 - Epileptic seizures are a frequent manifestation of Hashimoto's encephalopathy. However, status epilepticus associated with Hashimoto's encephalopathy are not well characterized in medical literature. We described here a 16-year-old girl who presented with complex partial status epilepticus associated with elevated anti-thyroid antibodies. Ictal EEG showed lateralized high amplitude rhythmic delta waves over the right hemisphere and ictal single-photon emission computed tomography revealed regional hyperperfusion of the right parietal and temporal lobes. The patient was unresponsive to antiepileptic drug therapy but responded to intravenous steroid treatment. Screening of serum anti-thyroid antibodies for unexplained encephalopathy with epileptic seizures is suggested, as early recognition and prompt steroid treatment may lead to a favorable prognosis.

AB - Epileptic seizures are a frequent manifestation of Hashimoto's encephalopathy. However, status epilepticus associated with Hashimoto's encephalopathy are not well characterized in medical literature. We described here a 16-year-old girl who presented with complex partial status epilepticus associated with elevated anti-thyroid antibodies. Ictal EEG showed lateralized high amplitude rhythmic delta waves over the right hemisphere and ictal single-photon emission computed tomography revealed regional hyperperfusion of the right parietal and temporal lobes. The patient was unresponsive to antiepileptic drug therapy but responded to intravenous steroid treatment. Screening of serum anti-thyroid antibodies for unexplained encephalopathy with epileptic seizures is suggested, as early recognition and prompt steroid treatment may lead to a favorable prognosis.

KW - Complex partial seizure

KW - Corticosteroid

KW - Hashimoto's encephalopathy

KW - Status epilepticus

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Complex partial status epilepticus as a manifestation of Hashimoto's encephalopathy

Abstract

Keywords

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