<s>[INST]I am a 39 year old female.  I have hoshimotos thyroiditis and last week I had a clonic tonic seizure.  This was my first seizure.  Since the seizure Ive had vertigo, dizziness, confusion (confusion is getting better), it is hard for me to put a sentence together.  I know what I want to say, but I have to think through my speech to construct a sentence.  I was just reading about Hoshimotos Encephalopathy.  Im not a doctor, but the description of this disease seems to fit my case?  How urgent is a diagnosis?  I dont want to have anymore seizures or permanent brain damage.  Thank you....[/INST]Thank you for your detailed description of your problems. You have been having Hashimoto thyroiditis, and now you have had new onset of seizures, confusion (& difficulty in thinking) and vertigo. You could be having Hashimoto thyroiditis. Furthermore, you may need to get the following antibodies tested:1) Anti-Thyroglobulin antibodies2) Anti-Thyroid Peroxidase antibodies It is important to consult a neurologist/ immunologist for further treatment. A brief course of immunosuppression may be given in your case, and it may actually cause reversal of your symptoms to a good extent. Hashimoto Encephalopathy - especially in your degree of illness must be reversible. Hope this answer helps you.</s>