Widespread intracranial calcification, seizures and extrapyramidal manifestations in a case of hypoparathyroidism

North American Journal of Medical Sciences

Volumn 4, Issue 8, 2012, Pages 369-372

  Rizvi, Imran ^a   Ansari, Noor Alam ^a   Beg, Mujahid ^a   Shamim, Md Dilawez ^a  

^a ALIGARH MUSLIM UNIVERSITY   (India)

Author keywords

Basal ganglia calcification; Extrapyramidal features; Hypoparathyroidism; Seizures

Indexed keywords

CALCITRIOL; CALCIUM; PARATHYROID HORMONE; PHOSPHATE; VALPROIC ACID;

ADULT; ARTICLE; BRAIN CALCIFICATION; CASE REPORT; CATARACT; COMPUTER ASSISTED TOMOGRAPHY; EXTRAPYRAMIDAL SYMPTOM; FOLLOW UP; HUMAN; HYPOCALCEMIA; HYPOPARATHYROIDISM; MALE; MUSCLE RIGIDITY; SEIZURE; TREMOR;

EID: 84864983964     PISSN: 22501541     EISSN: 19472714     Source Type: Journal    
DOI: 10.4103/1947-2714.99523     Document Type: Article

References (16)

1. th ed. Harrison's principles of internal medicine. In: Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, et al. editors. McGraw Hills: New York; 2008. p. 2377-96.
2. Shoback D. Clinical practice. Hypoparathyroidism. N Engl J Med 2008;359:391-403.
3. Pleet AB, David JS. Neurological aspects of endocrine disturbance. Clinical neurology. In: Baker AB, Baker LH, editors. JB Lippincott company: Philadelphia; 1993. p. 24.
4. Abe S, Tojo K, Ichida K, Shigematsu T, Hasegawa T, Morita M, et al. A rare case of idiopathic hypoparathyroidism with varied neurological manifestations. Intern Med 1996;35:129-34.
5. Fonseca OA, Calverley JR. Neurological manifestation of hypoparathyroidism. Arch Intern Med 1967;120:202-6.
6. Idiopathic hypoparathyroidism: An unusual cause of acute encephalopathy. BMJ Case Reports, 2011. (Accessed March 24, 2012, at http://casereports.bmj.com/content/2011/bcr.12.2010.3593.full)
7. Garg RK, Garg N, Tandon N, Khurana ML, Ammini AC. Idiopathic hypoparathyroidism presenting as epilepsy in a 40 years female. Neurol India 1999;47:244-5.
8. Hossain M. Neurological and psychiatric manifestations in idiopathic hypoparathyroidism: Response to treatment. J Neurol Neurosurg Psychiatry 1970;33:153-6.
9. Glaser GH, Levy L. Seizures and idiopathic hypoparathyroidism. A clinical-electroencephalographic study. Epilepsia 1960;1:454-65.
10. Bindu M, Harinarayana CV. Hypoparathyroidism: A rare treatable cause of epilepsy-report of two cases. Eur J Neurol 2006;13:786-8.
11. Armelisasso C, Vaccario ML, Pontecorvi A, Mazza S. Tonicclonic seizures in a patient with primary hypoparathyroidism: A case report. Clin EEG Neurosci 2004;35:97-9.
12. Tong GM, Rude RK. Magnesium deficiency in critical illness. J Intensive Care Med 2005;20:3-17.
13. Castilla-Guerra L, del Carmen Fernández-Moreno M, López-Chozas JM, Fernández-Bolaños R. Electrolytes disturbances and seizures. Epilepsia 2006;47:1990-8.
14. Fulop M, Zeifer B. Case report: Extensive brain calcification in hypoparathyroidism. Am J Med Sci 1991;302:292-5.
15. Verulashvili IV, Glonti LSh, Miminoshvili DK, Maniia MN, Mdivani KS. Basal ganglia calcification: Clinical manifestations and diagnostic evaluation. Georgian Med News 2006;140:39-43.
16. Winer KK, Ko CW, Reynolds JC, Dowdy K, Keil M, Peterson D, et al. Long-term treatment of hypoparathyroidism: A randomized controlled study comparing parathyroid hormone-(1-34) versus calcitriol and calcium. J Clin Endocrinol Metab 2003;88:4214-20.