Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit

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...

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Main Authors: Faheem Seedat, Reyna Daya, Sindeep A. Bhana
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2018/5948254
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author Faheem Seedat
Reyna Daya
Sindeep A. Bhana
author_facet Faheem Seedat
Reyna Daya
Sindeep A. Bhana
author_sort Faheem Seedat
collection DOAJ
description 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.
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spelling doaj-art-19dfe48ce29e4fdab38318d787f7168e2025-02-03T01:11:11ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/59482545948254Hypoparathyroidism Causing Seizures: When Epilepsy Does Not FitFaheem Seedat0Reyna Daya1Sindeep A. Bhana2Department of Internal Medicine, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaA 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.http://dx.doi.org/10.1155/2018/5948254
spellingShingle Faheem Seedat
Reyna Daya
Sindeep A. Bhana
Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit
Case Reports in Medicine
title Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit
title_full Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit
title_fullStr Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit
title_full_unstemmed Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit
title_short Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit
title_sort hypoparathyroidism causing seizures when epilepsy does not fit
url http://dx.doi.org/10.1155/2018/5948254
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AT sindeepabhana hypoparathyroidismcausingseizureswhenepilepsydoesnotfit