hashimoto's encephalopathy (he) is a rare condition characterized by atypical psychiatric and heterogeneous neurological manifestations such as acute cerebral ischemia, seizure, tremors, myoclonus, psychosis, depression, cognitive disorders, and fluctuating loss of consciousness. here, a case of 28 year-old man was reported who referred to the emergency department (ed) with different acute neur...

introduction a sudden loss of consciousness followed by abnormal movements can be ictal or syncopal in origin. transient response by the brain to sudden decrease of blood flow may cause sudden loss of consciousness followed by abnormal movements that mimic seizure. dysrhythmia is one of the important and critical reasons of such events that should be differentiated from seizure. case presentati...

a 33 yr old man, previously diagnosed with hypothyroidism, presented with decreased level of consciousness and generalized tonic-clonic (gtc) seizure to namazi hospital, shiraz, iran, during april 2015. the patient later referred with another episode of seizure like attack for which he received phenytoin, carbamazepine and levothyroxine and was discharged. during his last admission, the patient...