간질 발작으로 발현한 거짓부갑상샘저하증
Pseudohypoparathyroidism Presented With Seizure
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Pseudohypoparathyroidism (PHP) is a rare clinical syndrome characterized by hypocalcemia, hyperphosphatemia and increase of serum parathyroid hormone in association with unique clinical features. We recently experienced a typical PHP type Ia patient who presented with recurrent seizure and muscle spasms and electroencephalogram (EEG) showed generalized spike-and-wave discharges. With the correction of hypocalcemia, seizures did not recur and epileptiform discharges disappeared. We suggest that the possibility of PHP should be considered in patients with seizures showing hypocalcemia and hyperphosphatemia.
Abstract
Pseudohypoparathyroidism (PHP) is a rare clinical syndrome characterized by hypocalcemia, hyperphosphatemia and increase of serum parathyroid hormone in association with unique clinical features. We recently experienced a typical PHP type Ia patient who presented with recurrent seizure and muscle spasms and electroencephalogram (EEG) showed generalized spike-and-wave discharges. With the correction of hypocalcemia, seizures did not recur and epileptiform discharges disappeared. We suggest that the possibility of PHP should be considered in patients with seizures showing hypocalcemia and hyperphosphatemia.
참고문헌 (8)
- Albright F, "Pseudohypoparathyroidism-an example of the Seabright-Bantam Syndrome", Endocrinology, 30, pp.922~932 (1942)
- Kim EY, "A case of pseudohypoparathyroidism type II", J Korean Pediatr Soc, 39, pp.1326~1330 (1996)
- Chase LR, "Pseudohypoparathyroidism: Defective excretion of 3',5'-AMP in response to parathyroid hormone", J Clin Invest, 48, pp.1832~1844 (1969)
- Dickson LG, "Neurological, eletroencephalographic, and heredo-familial aspects of pseudohypoparathyroidism and pseudopseudohypoparathyroidism", J Neurol Neurochir Psychiatr Pol, 23, pp.33~39 (1960)
- 최윤주, "출산 후에만 재발성 경련을 보인 무증상성 가성부갑상선기능저하증 1예", 대한신경과학회지, 25(3), pp.383~385 (2007), 대한신경과학회
- Glynne A, "Pseudohypoparathyroidism with paradoxical increase in hypocalcemic seizures due to long-term anticonvulsant therapy", Postgrad Med J, 48, pp.632~636 (1972)
- Matsuda I, "Pseudohypoparathyroidism type II and anticonvulsant rickets", Eur J Pediatr, 132, pp.303~308 (1979)
- Pack AM, "Bone disease in epilepsy", Curr Neurol Neurosci Rep, 4, pp.329~334 (2004)
