{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T09:00:11Z","timestamp":1781254811482,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The presence of the bilateral claustrum sign in new\u2010onset refractory status epilepticus (NORSE) should prompt consideration of Hashimoto's encephalopathy, even without thyroid dysfunction. Early recognition and corticosteroid therapy can be lifesaving, emphasizing an autoimmune\u2010inflammatory mechanism underlying this rare presentation.<\/jats:p>","DOI":"10.1002\/ccr3.72382","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T04:44:12Z","timestamp":1776746652000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Claustrum Sign in Hashimoto Encephalopathy Presenting With New Onset Refractory Status Epilepticus (\n                    <scp>NORSE<\/scp>\n                    ): First Report of a Rare Phenotype"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8958-3948","authenticated-orcid":false,"given":"Zahra\u2010Sadat","family":"Mirian","sequence":"first","affiliation":[{"name":"School of Medicine Isfahan University of Medical Sciences  Isfahan Iran"},{"name":"Student Research Committee Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1060-5906","authenticated-orcid":false,"given":"Mohammad Amin","family":"Najafi","sequence":"additional","affiliation":[{"name":"Department of Neurology Isfahan University of Medical Sciences  Isfahan Iran"},{"name":"Isfahan Neurosciences Research Center, Alzahra Hospital Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alireza Anjam","family":"Majoumerd","sequence":"additional","affiliation":[{"name":"Department of Neurology Isfahan University of Medical Sciences  Isfahan Iran"},{"name":"Isfahan Neurosciences Research Center, Alzahra Hospital Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Khoshnevisan","sequence":"additional","affiliation":[{"name":"School of Medicine Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1157-5611","authenticated-orcid":false,"given":"Mohammad Reza","family":"Najafi","sequence":"additional","affiliation":[{"name":"Department of Neurology Isfahan University of Medical Sciences  Isfahan Iran"},{"name":"Isfahan Neurosciences Research Center, Alzahra Hospital Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/epi.14016"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000001940"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)00401-9"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.14581\/jer.13013"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000048660.71390.C6"},{"issue":"3","key":"e_1_2_12_7_1","article-title":"Hashimoto Encephalopathy: A Case Report and a Short Revision of Current Literature","volume":"91","author":"Chiarello P.","year":"2020","journal-title":"Acta Biomed"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-199511000-00005"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2012.11.003"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.2484\/rcr.v6i1.445"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.63.2.197"},{"issue":"2","key":"e_1_2_12_12_1","first-page":"453","article-title":"Hashimoto's Encephalopathy With Unusual MRI Findings Mimicking Meningoencephalitis: A Case Report and Literature Review","volume":"81","author":"Suh H. 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