Two patients with Hashimoto's encephalopathy and uncontrolled diabetes successfully treated with levetiracetam.

Hashimoto's encephalopathy (HE) is a rare syndrome of progressive or relapsing-remitting encephalopathy associated with elevated serum anti-thyroid antibody concentrations. It is thought to be an autoimmune process that generally responds well to high-dose corticosteroids and other immunomodulatory therapies. However, some patients are unresponsive to steroids or are unable to receive immune therapy.

Barriers in school-to-community transition.

Effective planning to resolve the school-to-community transition problems of hearing-impaired youth begins with an understanding of what the specific problems are. To identify obstacles to successful transition, survey forms were developed for three groups--the deaf, hard-of-hearing, and deaf multihandicapped--and distributed in the Pacific Northwest to educators, rehabilitation specialists, parents, and hearing-impaired youth. The respondents to the survey of deaf youth varied in their perceptions of the most significant barriers to successful transition.