ECE2024 Eposter Presentations Calcium and Bone (102 abstracts)
A Case of Seizure Revealing Fahr’s Syndrome with Primary Hypoparathyroidism
Hemmat El Haddad , Heba Murad , Nehal Hamdy , Rokaya Abdel Aziz , Heba Moustafa , Randa Salam , Mohamed Magdy , Fady Nagi & Ahmed Atef
Cairo University, Internal medicine, endocrinology, Cairo, Egypt
Introduction: Fahr’s disease, is a rare neurological disorder characterized by abnormal calcified deposits in the basal ganglia with a prevalence of <1/1 000 000
Case report: A 15-year-old male presented with focal seizures in right upper and lower limbs that progressed to generalized tonic clonic seizure and status epilepticus. No history of head trauma, central nervous system infection, stroke, hypertension, diabetes, or autoimmune disease No family history of epilepsy He had recurrent episodes of focal seizures since the age of 10. EEG showed epileptiform waves, antiepileptic drug were started The patient was admitted to ICU with status epilepticus sedated on midazolam infusion, intubated and mechanically ventilated Pulse: 90/min, Bp: 100/70, RR: 18/min, Temperature: 37c (Hb) 13.4 g/dl, white blood cell count (WBC) 17.4 u/l; platelet 300 u/l, glucose 111 mg/dl (AST) 108 U/l; (ALT) 38 U/l U/l, creatinine 1.3 mg/dl; potassium 3.5 mmol/l; calcium 3.3 mg/dl; phosphorus 6.3 mg/dl; magnesium, 2.2 mg/dl (1.9–3.1 mg/dl); parathormone (PTH) 2.1 pg/dl (15–65 pg/dl); 25-OH vitamin D3 14.4 ng/ml (8.0–51.9 ng/ml); ANCA negative CT brain showed extensive bilateral cerebral calcification The patient received, calcium IV infusion (rate 0.5 mg/kg/h) for 24 h, antiepileptics (Levetiracetam 500 mg twice daily. Discharged on, oral medication started. Calcium Carbonate 600 mg 3 times daily oral Cholecalciferol) one bottle weekly Upon discharge calcium: 6.2 mg/dl, with no recurrent convulsions
Conclusion : We report a case of Fahr’s syndrome with hypoparathyroidism in a patient with seizures as the main symptom. suspected by symmetrical and abnormal cerebral calcification
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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