...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical and Diagnostic Research >Status Epilepticus in Idiopathic Hypoparathyroidism
【24h】

Status Epilepticus in Idiopathic Hypoparathyroidism

机译：特发性甲状旁腺功能低下的癫痫持续状态

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Acute hypocalcaemia which is seen in critically ill patients or which is caused by certain medications usually does not require specific treatment. But chronic hypocalcaemia which is caused by hypoparathyroidism is usually a symptomatic and requires treatment. A 50-years-old female presented in status epilepticus. She had muscle spasms, carpopedal spasms, facial grimacing and papillo-oedema. Her serum calcium and PTH levels were markedly decreased and her serum magnesium levels were normal. The CT scan of her head revealed calcifications in the brainstem, cerebellum, basal ganglia and the corona radiata and her ECG showed a prolonged QT interval. A diagnosis of chronic hypocalcaemia with hypoparathyroidism was made. The patient gradually responded to calcium infusions, anti-convulsants and supportive treatment. She was discharged in a satisfactory condition after 20 days on oral calcium supplementations and anti-convulsants. This case highlights the importance of the parathyroid hormone and calcium measurements in patients who present in status epilepticus.
机译：在重症患者中发现的急性低钙血症或由某些药物引起的急性低钙血症通常不需要特殊治疗。但是由甲状旁腺功能低下引起的慢性低钙血症通常是有症状的，需要治疗。一名50岁的女性患有癫痫持续状态。她患有肌肉痉挛，腕管痉挛，面部做鬼脸和乳头水肿。她的血清钙和PTH水平显着降低，她的血清镁水平正常。头部的CT扫描显示脑干，小脑，基底神经节和电晕放射线有钙化，她的心电图显示QT间隔延长。诊断为慢性低钙血症伴甲状旁腺功能低下。患者逐渐对输注钙，抗惊厥药和支持治疗产生反应。口服钙补充剂和抗惊厥剂治疗20天后，她的出院情况令人满意。这种情况突显了癫痫持续状态患者进行甲状旁腺激素和钙测量的重要性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号