Recurrent Seizure: An Uncommon Presentation of Post Thyroidectomy Hypoparathyroidism

Abstract

Basal ganglia calcification is associated with chronic hypoparathyroidism. We report a case of 37 year old lady with long standing iatrogenic hypoparathyroidism following total thyroidectomy. The clinical evaluation revealed neurological symptoms but without any neurological deficit. The CT scan of head showed calcification in caudate nucleus and part of lentiform nucleus of basal ganglia and in the cortical and subcortical white matter. Detection of brain calcinosis in patient’s who had total thyroidectomy can guide clinicians to further investigation for possible hypoparathyroidism.DOI: http://dx.doi.org/10.3329/jom.v16i1.22406 J MEDICINE 2015; 16 : 56-58

Occurrence of Fahr's syndrome in patient suffering from systemic lupus erythematosus: A case report

“…Moguće je da taloženje kalcijuma u moždanom parenhimu nastaje zbog lokalnog oštećenja krvno-moždane barijere ili zbog poremećaja u neuralnom metabolizmu kalcijuma (15,17,30). Interesantno je da sa uvećanjem serumskih vrednosti kalcijuma i fosfora od 1% raste progresija kalcifikacije bazalnih ganglija za 5% (8,32). Nije jasno ni zašto su baš bazalne ganglije mesto gde dolazi do taloženja kalcijuma, ali i u nekim drugim stanjima one su target, poput taloženja bilirubina kod kernikerusa ili ugljen-monoksida i 1-metil-4-fenila kod parkinsonizma (15).…”