Abstract
Idiopathic hypoparathyroidism is a rare disorder of unknown etiology. It usually presents by second decade of life but delayed manifestations are known to occur. It presents as neuromuscular excitability, numbness, carpopedal spasm, 1 cramps, laryngeal stridor and convulsions. In subtle cases of hypoparathroidism neuromuscular excitability can be made evident by eliciting Chovstek's and Trousseu's 2 sign. Typical ECG manifestations are QTC prolongation. Cataract, intracranial calcification are well known entities. 3 Various other manifestations are Parkinsonism, Choreo athetosis, Spasm etc. Typically patients have low serum calcium, high inorganic phosphorus with low to undetectable PTH. In all such patients renal failure, chronic GI disorders, persistent alkalosis, rickets and osteomalacia should be excluded. JMS 2012;15(2):182-83
Highlights
Idiopathic hypoparathyroidism is a rare disorder of unknown etiology
Patient lost follow up and treatment. He reported back after two months to our hospital in status epilepticus with serum calcium of 4.5 mg/dl and phosphorus 6.5 mg/dl
Hypoparathyroidism can occur in hereditary setting presenting as Di george syndrome or vecardio facial syndrome typically having features of intellectual impairment, cataract and basal ganglia calcification.[4]
Summary
Idiopathic hypoparathyroidism is a rare disorder of unknown etiology. It usually presents by second decade of life but delayed manifestations are known to occur. Case Our patient M.I, 44 year old Saudi male non diabetic, non hypertensive having BMI of 24 presented with generalized tonic clonic seizures of two days duration. Patient had similar episodes eight and four months back prior to admission at our hospital for which he sought no medical advice. Cooperative, well oriented male with normal vitals.
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