Idiopathic hypoparathyroidism: a cause of fits in the elderly.

Graham, Karly; Williams, Basil; Rowe, Mark J.

doi:10.1136/bmj.1.6176.1460-a

Cited by 13 publications

(3 citation statements)

References 4 publications

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“…Generalised seizures are more usually provoked by metabolic disturbances. Since elderly patients with diabetic ketoacidosis or hypoparathyroidism [7] are equally likely to have Cerebrovascular disease, but don't present with focal fits? Theories based on cellular dehydration due to the hyperosmolarity achieved in absence of ketosis have been explored in detail [8] and experimental studies adduced to show that hypertonic solutions will activate existing seizure foci [9] .…”

Section: Discussionmentioning

confidence: 99%

Focal Seizures as Presenting Symptom of Diabetes: A Case Series

Mushtaq¹,

Wani²,

Asimi³

et al. 2015

J Cont Med A Dent

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Section: Discussionmentioning

confidence: 99%

Focal Seizures as Presenting Symptom of Diabetes: A Case Series

Mushtaq¹,

Wani²,

Asimi³

et al. 2015

J Cont Med A Dent

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“…With increasing age it is associated with degenerative changes of unknown aetiology. Hypoparathyroidism may be associated with cataracts and epileptic fits 95 and is also a recognized cause of dementia in the elderly. 96 Treatment is by oral alfacalcidol or calcitriol with calcium supplements.…”

Section: Parathyroid Diseasementioning

confidence: 99%

Endocrine disorders

Belchetz

1993

Rev. Clin. Gerontol.

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“…Pneumonia and other causes of hypoxia may also trigger seizures. Other infections and metabolic abnormalities, such as uraemia, thyroid disease, hypoglycaemia, electro/y te disturbance, and hepatic impairment, should also be considered as possible causes of unexplained seizures (25)(26)(27)(28).…”

Section: S 34mentioning

confidence: 99%

Epilepsy in elderly people: Management issues

Tallis,

Boon,

Perucca

et al. 2002

Epileptic Disorders

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Epilepsy in elderly people is far more common than many doctors realise. The prevalence and incidence are frequently underestimated due to underdiagnosis or misdiagnosis of the condition. As the proportion of older people in the population grows, the management of epilepsy in this population will become increasingly important. Elderly people are especially susceptible to the consequences of seizures, particularly loss of self‐confidence, decreased independence, and “falls” resulting in physical injury. Establishing the diagnosis of epilepsy in old age can be more difficult than in younger patients due to the extensive range of differential diagnoses and a far higher prevalence of concomitant disease. Treatment strategies are demanding; they must allow for the complexities of co‐morbidity, co‐medication, alterations in drug handling, and drug effects on an aging body. Together with a growing array of antiepileptic medication from which to choose, these factors make the management of epilepsy in elderly people particularly challenging.

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Idiopathic hypoparathyroidism: a cause of fits in the elderly.

Cited by 13 publications

References 4 publications

Focal Seizures as Presenting Symptom of Diabetes: A Case Series

Focal Seizures as Presenting Symptom of Diabetes: A Case Series

Endocrine disorders

Epilepsy in elderly people: Management issues

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