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Seizures: Classification01:13

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Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
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Related Experiment Video

Updated: Oct 20, 2025

Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
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A Case of Steroid-Responsive Encephalopathy.

Alona Kondramashin1, Asia Filatov1, Jonathan T Grossman1

  • 1Neurology, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.

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|September 15, 2021
PubMed
Summary

Hashimoto's encephalopathy, an autoimmune thyroiditis complication, presents with gradual neurological symptoms. Prompt steroid treatment can effectively manage this steroid-responsive encephalopathy.

Keywords:
anti-tpo antibodiesencephalopathyhashimotos thyroiditishashimoto’s encephalopathysteroid responsive

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Area of Science:

  • Neurology
  • Immunology
  • Endocrinology

Background:

  • Hashimoto's encephalopathy (HE) is a rare neurological disorder linked to autoimmune thyroiditis.
  • It typically manifests with gradual onset neurological symptoms over months.

Observation:

  • The case involved a 74-year-old male with abrupt confusion.
  • Diagnosis required identifying elevated anti-thyroid antibodies (anti-TPO or anti-M).
  • Other findings included elevated ESR, liver enzymes, and CSF protein.

Findings:

  • HE symptoms encompass cognitive decline, psychiatric disturbances, and motor deficits.
  • Thyroid function tests and antibody titers do not correlate with disease severity.
  • Cerebral imaging is often unremarkable.

Implications:

  • Early diagnosis of HE is crucial for timely intervention.
  • Steroids, IVIg, or plasmapheresis are effective treatments for HE.
  • This case highlights the importance of considering autoimmune thyroiditis in encephalopathy presentations.