Open AccessIntractable hypocalcemic seizures with neuropsychiatric symptoms- An under-diagnosed case
Author(s) -
Nidhi Kaeley,
Himanshi Baid,
Hannah Chawang,
Nagasubramanyam Vempalli
Publication year - 2021
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_2468_20
Subject(s) - medicine , hypocalcaemia , hypoparathyroidism , depression (economics) , pediatrics , extrapyramidal symptoms , psychosis , surgery , psychiatry , schizophrenia (object oriented programming) , antipsychotic , economics , macroeconomics , calcium
Idiopathic hypoparathyroidism is one of the important and treatable causes of hypocalcaemia. Patients with hypocalcaemia as a consequence of hypoparathyroidism can have varied neuropsychiatric presentations such as intractable seizures, depressive symptoms, psychosis, generalized parasthesias and extrapyramidal syndrome. Many times these patients are being wrongly treated as a case of depression without addressing the underlying cause. We present a case of 26-year-old female patient who presented in emergency with multiple episodes of complex partial seizures since the last 6 months and under the treatment for depression for 2 years. She was diagnosed as a case of hypocalcemia and hypoparathyroidism was considered as the underlying cause.