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
 
Contributor
 
Date 2018-03-25
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier https://osjournal.org/ojs/index.php/OSJ/article/view/1478
10.23954/osj.v3i1.1478
 
Source Open Science Journal; Vol 3, No 1 (2018): Open Science Journal
2466-4308
 
Language eng
 
Relation https://osjournal.org/ojs/index.php/OSJ/article/view/1478/149
 
Rights Copyright (c) 2018 Open Science Journal
http://creativecommons.org/licenses/by/4.0
 

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