<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Delhasse, Sébastien</dc:creator>
  <dc:creator>Debove, Ines</dc:creator>
  <dc:creator>Arnold-Kunz, Gabriella</dc:creator>
  <dc:creator>Ghika, Joseph-André</dc:creator>
  <dc:creator>Chabwine, Joelle N.</dc:creator>
  <dc:date>2019-03-01</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">Graves’ disease (GD) is an autoimmune pathology characterized by hyperthyroidism  and the presence of specific anti-thyroid antibodies. Neurological symptoms such as  seizures, cognitive impairment, and tremor can be observed during the course of GD,  but more complex movement disorders such as chorea and myoclonus are less  frequent. The mechanisms underlying movement disorders in GD are not fully  understood. While some authors relate movement disorders to thyroid dysfunction,  others claim an autoimmune origin. We herein report a case involving a 60-year-old  woman who presented with erratic, intricate movement disorders for which a medical  workup revealed GD. During the 2-year follow-up period, her neurological symptoms  evolved in parallel with her thyroid function, but not with her autoimmune anti-thyroid  antibody level. Her neurological symptoms completely disappeared when she became  euthyroid. We herein discuss the complicated clinicobiological relationship between  thyroid function and movement disorders. This relationship involves several factors,  including the impact of radioactive treatment. The present case emphasizes the  importance of including thyroid function screening in the workup of unexplained  movement disorders.</dc:description>
  <dc:format>application/pdf</dc:format>
  <dc:identifier>https://folia.unifr.ch/global/documents/307728</dc:identifier>
  <dc:identifier>https://folia.unifr.ch/documents/307728/files/nsi_emd.pdf</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1177/0300060518816873</dc:relation>
  <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
  <dc:rights>License undefined</dc:rights>
  <dc:source>Journal of International Medical Research. - 2019, vol. 47, no. 3, p. 1378–1386</dc:source>
  <dc:subject>info:eu-repo/classification/udc/61</dc:subject>
  <dc:title xmlns:ns1="xml" ns1:lang="en">Erratic movement disorders disclosing Graves’ disease and paralleling thyroid function but not autoantibody levels</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>
