A Cases Report of 55-Year-Old Lady with Recurrent Seizure with History of Thyroidectomy

Authors

  • Mohammad Atiqur Rahman Assisstant professor of Endocrinoology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Mashfiqul Hasan Assistant professor of Endocrinoology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Sharmin Chowdhury Medical Officer, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Afzal Momin Associate Professor, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Mohammad Shah Jahirul Hoque Chowdhury Professor, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jninb.v8i1.59944

Keywords:

hypocalcaemia; hypoparathyroidism; intracranial calcification

Abstract

Permanent hypoparathyroidism is not uncommon following thyroidectomy. However, hypoparathyroidism can present with neurological features like seizures, paresthesia, depression, psychosis, extrapyramidal manifestations and features of raised intracranial pressure. Here we present a case of recurrent seizure with history of thyroidectomy 10 years back. The patient was clinically and biochemically hypocalcaemic due to hypoparathyroidism and her brain imaging shows diffuse intracranial calcification. Patient was managed with anticonvulsant, calcium gluconate, calcitriol and levothyroxine. Chronic hypocalcaemia due to postoperative hypoparathyroidism can cause diffuse intracranial calcification which in turn triggers several neurological symptoms like seizure. Therefore judicial surgery and regular post-operative follow up is required to prevent such complications.

Journal of National Institute of Neurosciences Bangladesh, January 2022; 8(1):100-102  

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Published

2022-05-27

How to Cite

Rahman, M. A. ., Hasan, M. ., Chowdhury, S., Momin, A., & Hoque Chowdhury, M. S. J. . (2022). A Cases Report of 55-Year-Old Lady with Recurrent Seizure with History of Thyroidectomy. Journal of National Institute of Neurosciences Bangladesh, 8(1), 100–102. https://doi.org/10.3329/jninb.v8i1.59944

Issue

Section

Case Reports