Recurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report

Hypomagnesemia is one of the electrolyte disturbances that can cause seizures. It is common in the hospitalized patients and can be induced by long-term usage of many medications. A 68-year-old male known to have hypertension and gastroesophageal reflux presented to the Emergency Department with an...

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Autores principales:	Abdalla Khalil, Jithesh Choyi, Khalil Hossenbux, Ahmed Taha
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	drugs associated with severe hypomagnesemia unprovoked first seizure hypomagnesemia-induced seizure todd’s paralysis Medicine R
Acceso en línea:	https://doaj.org/article/6da92e27e8a0431498ced043868c3680
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spelling	oai:doaj.org-article:6da92e27e8a0431498ced043868c36802021-12-02T12:40:24ZRecurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report2504-528810.1159/000520123https://doaj.org/article/6da92e27e8a0431498ced043868c36802021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/520123https://doaj.org/toc/2504-5288Hypomagnesemia is one of the electrolyte disturbances that can cause seizures. It is common in the hospitalized patients and can be induced by long-term usage of many medications. A 68-year-old male known to have hypertension and gastroesophageal reflux presented to the Emergency Department with an unprovoked first seizure at home followed by a temporary right-sided hemiparesis, dysphasia, and facial asymmetry. The hemiparesis, dysphasia, and facial asymmetry resolved within less than an hour after the seizure. His serum potassium was low with prolonged QT interval in the electrocardiogram (serum magnesium was not checked in the Emergency Department). He received intravenous IV potassium chloride infusion, and his serum potassium level was corrected, but he had a recurrent seizure after 10 h. At that time, his serum magnesium was found to be very low, he received IV magnesium sulfate infusion, and his indapamide, omeprazole, and metformin medications were stopped. He had no further seizures, the rest of his blood tests were normal, and his CT brain was unremarkable. He was treated for aspiration pneumonia, and his outpatient MRI brain and EEG came to be normal too.Abdalla KhalilJithesh ChoyiKhalil HossenbuxAhmed TahaKarger Publishersarticledrugs associated with severe hypomagnesemiaunprovoked first seizurehypomagnesemia-induced seizuretodd’s paralysisMedicineRENCase Reports in Acute Medicine, Vol 4, Iss 3, Pp 85-90 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	drugs associated with severe hypomagnesemia unprovoked first seizure hypomagnesemia-induced seizure todd’s paralysis Medicine R
spellingShingle	drugs associated with severe hypomagnesemia unprovoked first seizure hypomagnesemia-induced seizure todd’s paralysis Medicine R Abdalla Khalil Jithesh Choyi Khalil Hossenbux Ahmed Taha Recurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report
description	Hypomagnesemia is one of the electrolyte disturbances that can cause seizures. It is common in the hospitalized patients and can be induced by long-term usage of many medications. A 68-year-old male known to have hypertension and gastroesophageal reflux presented to the Emergency Department with an unprovoked first seizure at home followed by a temporary right-sided hemiparesis, dysphasia, and facial asymmetry. The hemiparesis, dysphasia, and facial asymmetry resolved within less than an hour after the seizure. His serum potassium was low with prolonged QT interval in the electrocardiogram (serum magnesium was not checked in the Emergency Department). He received intravenous IV potassium chloride infusion, and his serum potassium level was corrected, but he had a recurrent seizure after 10 h. At that time, his serum magnesium was found to be very low, he received IV magnesium sulfate infusion, and his indapamide, omeprazole, and metformin medications were stopped. He had no further seizures, the rest of his blood tests were normal, and his CT brain was unremarkable. He was treated for aspiration pneumonia, and his outpatient MRI brain and EEG came to be normal too.
format	article
author	Abdalla Khalil Jithesh Choyi Khalil Hossenbux Ahmed Taha
author_facet	Abdalla Khalil Jithesh Choyi Khalil Hossenbux Ahmed Taha
author_sort	Abdalla Khalil
title	Recurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report
title_short	Recurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report
title_full	Recurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report
title_fullStr	Recurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report
title_full_unstemmed	Recurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report
title_sort	recurrent generalized seizures with postictal todd’s paralysis caused by medication-associated severe hypomagnesemia: a case report
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/6da92e27e8a0431498ced043868c3680
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Recurrent Generalized Seizures with Postictal Todd’s Paralysis Caused by Medication-Associated Severe Hypomagnesemia: A Case Report

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