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Febrile Hashimoto's encephalopathy
  1. PANAGIOTIS PAPATHANASOPOULOS
  1. Neurological Clinic, Department of Medicine, University of Patras, PO Box 1045, Rion, Greece
  2. Medical Clinic
  3. Neurological clinic
    1. KONSTANTIN MALLIORIS
    1. Neurological Clinic, Department of Medicine, University of Patras, PO Box 1045, Rion, Greece
    2. Medical Clinic
    3. Neurological clinic
      1. PANAGIOTIS KARANASIOS,
      2. DIMITRIOS DIMOPOULOS,
      3. THEODOROS PAPAPETROPOULOS
      1. Neurological Clinic, Department of Medicine, University of Patras, PO Box 1045, Rion, Greece
      2. Medical Clinic
      3. Neurological clinic

        https://doi.org/10.1136/jnnp.68.6.795

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          Hashimoto's encephalopathy is a rare association of Hashimoto's thyroiditis. The clinical course is often characterised by relapses.1-2 Persistent fever has not been previously recorded in the literature.

          A 48 year old white woman was referred in April 1996 from a psychiatric clinic, where she had presented with psychotic episodes with gradual deterioration and been diagnosed as possibly having Creutzfeldt-Jakob disease. She was confused and had brisk tendon reflexes, an extensor left plantar response, bilateral moderate cogwheeling, action myoclonus, and nuchal rigidity. The gait was unstable and uncoordinated. …

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