1. A 22 years old man with slow movements and mounding phenomenon © 2013 American Academy of Neurology Teaching NeuroImages Neurology Resident and Fellow Section

2. Vignette 22-year-old man 2 years of malaise Involuntary diffuse muscular enlargement Complaint of slow movements. Capistrano G G et al. © 2014 American Academy of Neurology

3. . Imaging Capistrano G G et al. © 2014 American Academy of Neurology

4. . Imaging Capistrano G G et al. © 2014 American Academy of Neurology Insert imaging here

5. . Imaging Capistrano G G et al. © 2014 American Academy of Neurology Insert imaging here

6. . Imaging Capistrano G G et al. © 2014 American Academy of Neurology Insert imaging here

7. Myoedema Physical sign associated with hypothyroidism In this case, hypothyroidism was confirmed by laboratorial exams Patient fully recovered after hormone supplementation. Capistrano G G et al. © 2014 American Academy of Neurology