일차부갑상샘저하증에서 나타난 반복적인 발작
Recurrent Seizures in a Patient with Primary Hypoparathyroidism
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Primary hypoparathyroidism is a rare disorder that presents with various psychiatric and neurological symptoms. A 50-year-old female patient visited hospital due to recurrent seizures. Despite treatment with phenytoin and diazepam, her seizures persisted. Laboratory tests revealed hypocalcemia, hyperphosphatemia, and decreased intact parathyroid hormone level. Following treatment with valproic acid and calcium supplementation, her seizures ceased. Thorough examination including laboratory tests play a crucial role in the accurate diagnosis of primary hypoparathyroidism in a patient with recurrent seizures.
Abstract
Primary hypoparathyroidism is a rare disorder that presents with various psychiatric and neurological symptoms. A 50-year-old female patient visited hospital due to recurrent seizures. Despite treatment with phenytoin and diazepam, her seizures persisted. Laboratory tests revealed hypocalcemia, hyperphosphatemia, and decreased intact parathyroid hormone level. Following treatment with valproic acid and calcium supplementation, her seizures ceased. Thorough examination including laboratory tests play a crucial role in the accurate diagnosis of primary hypoparathyroidism in a patient with recurrent seizures.
참고문헌 (10)
- Delanty N, "Medical causes of seizures", Lancet, 352, pp.383~390 (1998)
- Jain R, "Idiopathic hypoparathyroidism : still a diagnostic conundrum-a tertiary centre experience", Horm Metab Res, 52, pp.708~711 (2020)
- Young GB, "An assessment of nonconvulsive seizures in the intensive care unit using continuous EEG monitoring : an investigation of variables associated with mortality", Neurology, 47, pp.83~89 (1996)
- Faigle R, "Electroencephalography of encephalopathy in patients with endocrine and metabolic disorders", J Clin Neurophysiol, 30, pp.505~516 (2013)
- Pasieka JL, "Etiology and pathophysiology of hypoparathyroidism : a narrative review", J Bone Miner Res, 37, pp.2586~2601 (2022)
- Marcucci G, "Clinical presentation and management of hypoparathyroidism", Best Pract Res Clin Endocrinol Metab, 32, pp.927~939 (2018)
- Bilezikian JP, "Hypoparathyroidism", J Clin Endocrinol Metab, 105, pp.1722~1736 (2020)
- Pack AM, "Bone disease in epilepsy", Curr Neurol Neurosci Rep, 4, pp.329~334 (2004)
- Strehlow V, "Generalized epilepsy and myoclonic seizures in 22q11.2 deletion syndrome", Mol Syndromol, 7, pp.239~246 (2016)
- Suh G, "Bilateral striatopallidodentate calcinosis in a patient with hypoparathyroidism and epilepsy", J Neurocrit Care, 1, pp.171~173 (2008)