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Hypoparathyroidism and Seizure

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Hypoparathyroidism

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Abstract

Permanent hypoparathyroidism is reported as a complication of 1–5% of neck operations, usually involving the thyroid or parathyroids. We report a case of a 29-year-old woman with permanent postsurgical hypoparathyroidism following total thyroidectomy for a papillary thyroid carcinoma. Despite the standard treatment with oral calcium and active vitamin D, the patient presented with frequent episodes of severe hypocalcemia, three of them associated with generalized tonic-clonic seizures. Several aspects of the physiology, epidemiology, diagnosis, and management of seizures precipitated by hypocalcemia, as well as the treatment of hypocalcemia due to hypoparathyroidism are reviewed.

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Conflict of Interest

The authors declare no conflicts of interest.

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Authors and Affiliations

  1. Division of Endocrinology, Santa Casa Hospital, Belo Horizonte, Brazil

    Barbara C. Silva

  2. Division of Endocrinology, Felicio Rocho Hospital, Belo Horizonte, Brazil

    Barbara C. Silva

  3. Department of Medicine, Centro Universitario de Belo Horizonte, UNIBH, Belo Horizonte, Brazil

    Barbara C. Silva

  4. Department of Medicine, Division of Endocrinology, Northwell Health/Lenox Hill Hospital, New York, NY, USA

    Natalie E. Cusano

Authors
  1. Barbara C. Silva
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  2. Natalie E. Cusano
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Correspondence to Natalie E. Cusano .

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Editors and Affiliations

  1. Department of Medicine, Division of Endocrinology, Northwell Health/Lenox Hill Hospital, New York, NY, USA

    Natalie E. Cusano

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Silva, B.C., Cusano, N.E. (2020). Hypoparathyroidism and Seizure. In: Cusano, N. (eds) Hypoparathyroidism. Springer, Cham. https://doi.org/10.1007/978-3-030-29433-5_12

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  • DOI: https://doi.org/10.1007/978-3-030-29433-5_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29432-8

  • Online ISBN: 978-3-030-29433-5

  • eBook Packages: MedicineMedicine (R0)

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