Idiopathic hypoparathyroidism with clinical and electrophysiological myotonia– An unusual occurrence

Mathukumalli, Neeharika L; Kanikannan, Meena A; Shaik, Jabeen A; Kandadai, Mridula R

doi:10.4103/0028-3886.241408

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2022

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“…There was one case report showing myotonia on needle EMG in a patient of hypoparathyroidism with hypocalcemia. [ 10 ] However, the patient in the case report was with idiopathic hypocalcemia rather than iatrogenic or postoperative hypocalcemia as in our case. The patient had elevated CK levels suggesting myopathy.…”

Section: Discussionmentioning

confidence: 63%

Electromyographic changes in a patient with hypocalcemia after thyroidectomy: A case report

Min¹,

Lee²

2022

Turk J Phys Med Rehab

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Hypocalcemia is a rather uncommon condition that may be encountered in the outpatient setting. It may be associated with a wide range of clinical symptoms and signs. It is unclear that the primary cause of symptom is hypocalcemia, as these symptoms are usually discrete and ambiguous. Signs of muscle cramp and tetany are considered the expressions of overexcitability of peripheral nerves or central nervous system in case of hypocalcemia in the nerve. In this case, we present a 59-year-old female who presented with persistent muscle cramp and pain of both upper and lower extremities and underwent an investigation that revealed electromyographic changes due to hypocalcemia during an electromyographic study.

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Section: Discussionmentioning

confidence: 63%