Abstract | BACKGROUND: CASE REPORT: We present the case of a 33-year-old Japanese woman who acutely developed EPC in the right hand as an isolated manifestation. A thyroid ultrasound showed an enlarged hypoechogenic gland, and a thyroid status assessment showed euthyroid with high titers of thyroid antibodies. A brain MRI revealed a nodular lesion in the left precentral gyrus. Corticosteroid treatment resulted in a cessation of the symptom. CONCLUSIONS: A precentral nodular lesion can be responsible for steroid-responsive EPC in a patient with anti-thyroid antibodies and may be caused by HE. The serial MRI findings of our case suggest the presence of primary demyelination, with ischemia possibly due to vasculitis around the demyelinating lesion.
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Authors | Hiroki Masuda, Masahiro Mori, Shoichi Ito, Toshiyuki Yagishita, Satoshi Kuwabara |
Journal | Case reports in neurology
(Case Rep Neurol)
Vol. 6
Issue 2
Pg. 166-70
(May 2014)
ISSN: 1662-680X [Print] Switzerland |
PMID | 24932178
(Publication Type: Case Reports)
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