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2018 ; 2018
(ä): 5948254
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Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit
#MMPMID29808096
Seedat F
; Daya R
; Bhana SA
Case Rep Med
2018[]; 2018
(ä): 5948254
PMID29808096
show ga
A 24-year-old man presented to the Chris Hani Baragwanath Academic Hospital
emergency department with recurrent seizures having previously been diagnosed
with epilepsy from age 14. The biochemical investigations and brain imaging were
suggestive of seizures secondary to hypocalcemia, and a diagnosis of idiopathic
hypoparathyroidism was confirmed. After calcium and vitamin D replacement, the
patient recovered well and is seizure free, and off antiepileptic therapy. This
case highlights the occurrence of brain calcinosis in idiopathic
hypoparathyroidism; the occurrence of acute symptomatic seizures due to provoking
factors other than epilepsy; and the importance, in the correct clinical setting,
of considering alternative, and sometimes treatable, causes of seizures other
than epilepsy.