Pseudohypoparathyroidism: A Rare Cause of Status Epilepticus
Hypocalcemia can result in a variety of symptoms which include paresthesias, muscle spasms, cramps, tetany and circumoral numbness. Arrhythmias, heart failure and seizures constitute the serious symptoms arising from hypocalcemia. Seizures resulting from hypocalcemia are more common in the pediatric...
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SAGE Publishing
2022-01-01
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| Series: | Apollo Medicine |
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| Online Access: | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=2;spage=110;epage=112;aulast=Suri |
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| _version_ | 1849435009875705856 |
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| author | Vinit Suri Avinash Goswami Shishir Pandey Monika Goyal |
| author_facet | Vinit Suri Avinash Goswami Shishir Pandey Monika Goyal |
| author_sort | Vinit Suri |
| collection | DOAJ |
| description | Hypocalcemia can result in a variety of symptoms which include paresthesias, muscle spasms, cramps, tetany and circumoral numbness. Arrhythmias, heart failure and seizures constitute the serious symptoms arising from hypocalcemia. Seizures resulting from hypocalcemia are more common in the pediatric population. Although hypocalcemia can result from several causes, hypoparathyroidism and Vitamin D deficiency are most commonly encountered causes in clinical practice. Pseudohypoparathyroidism is a rare cause of hypocalcemia. We report a case of a young boy who presented to the emergency in status epilepticus with encephalopathy. ECG revealed prolonged QT interval which prompted further evaluation for a possible metabolic cause for this new onset status epilepticus. Routine laboratory investigations revealed hypocalcemia. A parathyroid pathology was suspected since phosphate level was elevated. Parathyroid hormone (PTH) levels were elevated suggesting PTH resistance pseudohypoparathyroidism which was diagnosed after exclusion of other causes of hypocalcemia and other acquired causes of PTH resistance. Patient was managed with intravenous calcium gluconate infusion, oral calcium supplementation, calcitriol and antiepileptic drugs. |
| format | Article |
| id | doaj-art-e4dd6d79b9c9461ea29cc86055d3d683 |
| institution | Kabale University |
| issn | 0976-0016 2213-3682 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Apollo Medicine |
| spelling | doaj-art-e4dd6d79b9c9461ea29cc86055d3d6832025-08-20T03:26:26ZengSAGE PublishingApollo Medicine0976-00162213-36822022-01-0119211011210.4103/am.am_122_21Pseudohypoparathyroidism: A Rare Cause of Status EpilepticusVinit SuriAvinash GoswamiShishir PandeyMonika GoyalHypocalcemia can result in a variety of symptoms which include paresthesias, muscle spasms, cramps, tetany and circumoral numbness. Arrhythmias, heart failure and seizures constitute the serious symptoms arising from hypocalcemia. Seizures resulting from hypocalcemia are more common in the pediatric population. Although hypocalcemia can result from several causes, hypoparathyroidism and Vitamin D deficiency are most commonly encountered causes in clinical practice. Pseudohypoparathyroidism is a rare cause of hypocalcemia. We report a case of a young boy who presented to the emergency in status epilepticus with encephalopathy. ECG revealed prolonged QT interval which prompted further evaluation for a possible metabolic cause for this new onset status epilepticus. Routine laboratory investigations revealed hypocalcemia. A parathyroid pathology was suspected since phosphate level was elevated. Parathyroid hormone (PTH) levels were elevated suggesting PTH resistance pseudohypoparathyroidism which was diagnosed after exclusion of other causes of hypocalcemia and other acquired causes of PTH resistance. Patient was managed with intravenous calcium gluconate infusion, oral calcium supplementation, calcitriol and antiepileptic drugs.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=2;spage=110;epage=112;aulast=Surihypocalcemiapseudohypoparathyroidismstatus epilepticus |
| spellingShingle | Vinit Suri Avinash Goswami Shishir Pandey Monika Goyal Pseudohypoparathyroidism: A Rare Cause of Status Epilepticus Apollo Medicine hypocalcemia pseudohypoparathyroidism status epilepticus |
| title | Pseudohypoparathyroidism: A Rare Cause of Status Epilepticus |
| title_full | Pseudohypoparathyroidism: A Rare Cause of Status Epilepticus |
| title_fullStr | Pseudohypoparathyroidism: A Rare Cause of Status Epilepticus |
| title_full_unstemmed | Pseudohypoparathyroidism: A Rare Cause of Status Epilepticus |
| title_short | Pseudohypoparathyroidism: A Rare Cause of Status Epilepticus |
| title_sort | pseudohypoparathyroidism a rare cause of status epilepticus |
| topic | hypocalcemia pseudohypoparathyroidism status epilepticus |
| url | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=2;spage=110;epage=112;aulast=Suri |
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