A case of functional hypoparathyoidism due to hypomagnesaemia leading to hypocalcaemic seizures

Open Science Journal

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Field Value
Title A case of functional hypoparathyoidism due to hypomagnesaemia leading to hypocalcaemic seizures
Creator Aquilina, Neville
Bugeja, Vincent
Bugeja, George
Subject Medicine; Geriatrics; Nephrology; Endocrinology
seizures; hypocalcaemia; hypomagnesaemia; hypoparathyroidism;
Description This case report describes an elderly lady who was maintained on a high dose of loop diuretics following resolution of her acute pulmonary oedema, which in turn led to wasting of calcium and magnesium at the nephron level. Her hypomagnesaemia further contributed to the hypocalcaemia by rendering ineffective the normal parathyroid negative feedback physiological response. This state of low calcium increased the neuromuscular excitability leading to myoclonic epilepsy which was resistant to benzodiazepines. Such hypocalcaemic tetany in this case would only be adequately addressed once the magnesium levels are repleted, as this would allow the parathyroid mechanism to function effectively and redress the calcium level as a result.
Publisher Open Science Journal
Date 2018-03-25
Type info:eu-repo/semantics/article

Format application/pdf
Identifier https://osjournal.org/ojs/index.php/OSJ/article/view/1478
Source Open Science Journal; Vol 3, No 1 (2018): Open Science Journal
Language eng
Relation https://osjournal.org/ojs/index.php/OSJ/article/view/1478/149
Rights Copyright (c) 2018 Open Science Journal

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