Primary Hypoparathyroidism - Misdiagnosed as Epilepsy

Authors

  • Ishrat Binte Reza Registrar, Department of Medicine, Popular Medical College, Dhaka
  • Chandra Shekhar Bala Junior Consultant, National Institute of Neurosciences and Hospital Dhaka, Dhaka
  • Eshrat Zarin Mumu Assistant Registrar, Popular Medical College, Dhaka
  • Bharul Minnat MPH(Thesis) student, State University of Bangladesh, Dhaka
  • HAM Nazmul Ahasan Professor of Medicine, Popular Medical College, Dhaka

DOI:

https://doi.org/10.3329/jom.v19i2.37236

Keywords:

Hypoparathyroidism, hypocalcemia, tetany, cerebral calcification

Abstract

Absent or inappropriately low intact parathyroid hormone along with hypocalcemia is the diagnostic criterion of hypoparathyroidism. Clinically, hypoparathyroidism manifests predominantly as neuromuscular dysfunction caused by hypocalcemia. We present here a case of hypoparathyroidism wrongly and ineffectively treated as epilepsy for six years prior to reporting to our hospital. Hypoparathyroidism was diagnosed in our patient on the basis of low serum calcium (ionized and total), high phosphate and very low IPTH levels in face of normal magnesium levels along with radiological evidence of cerebral calcification.

J MEDICINE JUL 2018; 19 (2) : 133-135

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Author Biography

Ishrat Binte Reza, Registrar, Department of Medicine, Popular Medical College, Dhaka



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Published

2018-07-10

How to Cite

Reza, I. B., Bala, C. S., Mumu, E. Z., Minnat, B., & Ahasan, H. N. (2018). Primary Hypoparathyroidism - Misdiagnosed as Epilepsy. Journal of Medicine, 19(2), 133–135. https://doi.org/10.3329/jom.v19i2.37236

Issue

Section

Case Reports