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Prominent Bilateral Hand Tremor in Hashimoto’s Encephalopathy: A Video Demonstration Cover

Prominent Bilateral Hand Tremor in Hashimoto’s Encephalopathy: A Video Demonstration

Open Access
|Oct 2016

Figures & Tables

Video 1

Segment 1A. Subject at presentation. Hands held outstretched showing a postural hand tremor more prominent in the right hand.
Segment 1B. Subject after relapse. Postural hand tremor relapse following steroid withdrawal. Segment 1C. Subject after steroid re-introduction. Significant tremor reduction on steroid treatment.

Table 1

Serum Antibody Panel

AntibodyLevelReference Range
Anti thyroglobulin antibody98.20–40 IU/ML
Antithyroid receptor antibody6.6>2 IU/L, positive
Antithyroperoxidase320‐35 IU/mL
Fixed NMDAR antibodyNegativeNegative
Anti‐VGCC antibodyNegative0–45 pmol/L
Anti‐VGKC antibody60–69 pmol/L
Anti‐GAD antibodyNegativeNegative

[i] Abbreviations: GAD, Glutamic Acid Decarboxylase; NMDAR, N‐methyl‐D‐aspartate Receptor; VGCC, Voltage‐gated Calcium Channel; VGKC, Voltage‐gated Potassium Channel.

DOI: https://doi.org/10.5334/tohm.305 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jul 30, 2016
Accepted on: Sep 6, 2016
Published on: Oct 12, 2016
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2016 Kanterpersad Ramcharan, Nadeem Hosein, Joel David Teelucksingh, Fidel Rampersad, Surujpal Teelucksingh, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.