A YOUNG MAN WITH GENERALIZED TONIC-CLONIC SEIZURES AND HYPOCALCAEMIA

A young man presented with history of generalized tonic clonic seizures, second episode in one year. Previous clinical history was significant for episodic carpopedal spasms. Clinical examination was significant for the presence of Trousseau sign. ECG was evident of prolonged QT interval and Correct...

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Autores principales:	Gulzar Ali, Akhlaq Ahmed, Bilal Ahmed
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	hypocalcaemia hypoparathyroidism Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b97fc1c8bc7246b1b969dd3f21eb42dc
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spelling	oai:doaj.org-article:b97fc1c8bc7246b1b969dd3f21eb42dc2021-11-11T03:06:39ZA YOUNG MAN WITH GENERALIZED TONIC-CLONIC SEIZURES AND HYPOCALCAEMIA0030-96482411-8842https://doaj.org/article/b97fc1c8bc7246b1b969dd3f21eb42dc2019-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3433/2405https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842A young man presented with history of generalized tonic clonic seizures, second episode in one year. Previous clinical history was significant for episodic carpopedal spasms. Clinical examination was significant for the presence of Trousseau sign. ECG was evident of prolonged QT interval and Corrected QT interval. Laboratory investigations revealed low serum calcium (corrected serum calcium was also low). Neuroimaging showed multiple bilateral hyper dense foci of calcification in cerebral hemispheres, thalami, caudate nucleus and cerebellar lobes. Serum intact parathyroid hormone level was found to be low. Investigations for other endocrine pathologies did not reveal any abnormality. EEG was normal. Crossectional imaging of chest, abdomen and pelvis was also done to rule out other polyendocrine deficiency syndromes and was normal. Thus diagnosis of primary hypo-parathyroidism was established and patient started on life time calcium plus vitamin D supplements.Gulzar AliAkhlaq AhmedBilal AhmedArmy Medical College RawalpindiarticlehypocalcaemiahypoparathyroidismMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 5, Pp 1154-1157 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	hypocalcaemia hypoparathyroidism Medicine R Medicine (General) R5-920
spellingShingle	hypocalcaemia hypoparathyroidism Medicine R Medicine (General) R5-920 Gulzar Ali Akhlaq Ahmed Bilal Ahmed A YOUNG MAN WITH GENERALIZED TONIC-CLONIC SEIZURES AND HYPOCALCAEMIA
description	A young man presented with history of generalized tonic clonic seizures, second episode in one year. Previous clinical history was significant for episodic carpopedal spasms. Clinical examination was significant for the presence of Trousseau sign. ECG was evident of prolonged QT interval and Corrected QT interval. Laboratory investigations revealed low serum calcium (corrected serum calcium was also low). Neuroimaging showed multiple bilateral hyper dense foci of calcification in cerebral hemispheres, thalami, caudate nucleus and cerebellar lobes. Serum intact parathyroid hormone level was found to be low. Investigations for other endocrine pathologies did not reveal any abnormality. EEG was normal. Crossectional imaging of chest, abdomen and pelvis was also done to rule out other polyendocrine deficiency syndromes and was normal. Thus diagnosis of primary hypo-parathyroidism was established and patient started on life time calcium plus vitamin D supplements.
format	article
author	Gulzar Ali Akhlaq Ahmed Bilal Ahmed
author_facet	Gulzar Ali Akhlaq Ahmed Bilal Ahmed
author_sort	Gulzar Ali
title	A YOUNG MAN WITH GENERALIZED TONIC-CLONIC SEIZURES AND HYPOCALCAEMIA
title_short	A YOUNG MAN WITH GENERALIZED TONIC-CLONIC SEIZURES AND HYPOCALCAEMIA
title_full	A YOUNG MAN WITH GENERALIZED TONIC-CLONIC SEIZURES AND HYPOCALCAEMIA
title_fullStr	A YOUNG MAN WITH GENERALIZED TONIC-CLONIC SEIZURES AND HYPOCALCAEMIA
title_full_unstemmed	A YOUNG MAN WITH GENERALIZED TONIC-CLONIC SEIZURES AND HYPOCALCAEMIA
title_sort	young man with generalized tonic-clonic seizures and hypocalcaemia
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/b97fc1c8bc7246b1b969dd3f21eb42dc
work_keys_str_mv	AT gulzarali ayoungmanwithgeneralizedtonicclonicseizuresandhypocalcaemia AT akhlaqahmed ayoungmanwithgeneralizedtonicclonicseizuresandhypocalcaemia AT bilalahmed ayoungmanwithgeneralizedtonicclonicseizuresandhypocalcaemia AT gulzarali youngmanwithgeneralizedtonicclonicseizuresandhypocalcaemia AT akhlaqahmed youngmanwithgeneralizedtonicclonicseizuresandhypocalcaemia AT bilalahmed youngmanwithgeneralizedtonicclonicseizuresandhypocalcaemia
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A YOUNG MAN WITH GENERALIZED TONIC-CLONIC SEIZURES AND HYPOCALCAEMIA

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