Intractable hypocalcemic seizures with neuropsychiatric symptoms- An under-diagnosed case

Idiopathic hypoparathyroidism is one of the important and treatable causes of hypocalcaemia. Patients with hypocalcaemia as a consequence of hypoparathyroidism can have varied neuropsychiatric presentations such as intractable seizures, depressive symptoms, psychosis, generalized parasthesias and ex...

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Bibliographic Details
Published in:Journal of family medicine and primary care 2021-05, Vol.10 (5), p.2032-2034
Main Authors: Kaeley, Nidhi, Baid, Himanshi, Chawang, Hannah, Vempalli, Nagasubramanyam
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
hypocalcemia
idiopathic hypoparathyroidism
neuropsychiatric symptoms
Parathyroid hormone
Seizures (Medicine)
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Summary:Idiopathic hypoparathyroidism is one of the important and treatable causes of hypocalcaemia. Patients with hypocalcaemia as a consequence of hypoparathyroidism can have varied neuropsychiatric presentations such as intractable seizures, depressive symptoms, psychosis, generalized parasthesias and extrapyramidal syndrome. Many times these patients are being wrongly treated as a case of depression without addressing the underlying cause. We present a case of 26-year-old female patient who presented in emergency with multiple episodes of complex partial seizures since the last 6 months and under the treatment for depression for 2 years. She was diagnosed as a case of hypocalcemia and hypoparathyroidism was considered as the underlying cause.
ISSN:2249-4863
2278-7135
DOI:10.4103/jfmpc.jfmpc_2468_20