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An Interesting Case of Seizure

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Stanley Medical College, Department of Medicine
Gesundheit & Medizin
1 von 55
A CASE OF SEIZURE in a Young Girl PROF.DR.MAGESHKUMAR’S UNIT Devendra Patil
HISTORY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Lab investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Urine routine: Albumin, sugar- nil. Pus cells -1to 3 cells /hpf
 
 
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Functional classification of hypocalcemia PTH low/ absent: PTH ineffective Pth overwhelmed: Hereditary Acquired Hypomagnesemia CRF Active VIT-D lacking: Reduced intake Low sunlight Anticonvulsant use Dependant rickets- type1 Active vitamin-d ineffective: Dependant rickets- type 2 Pseudo hypo PTH severe acute hyperphosphatemia Tumour lysis ARF Rhabdomyolysis Burns Pancreatitis Osteitis fibrosa after para thyroidectomy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Why this case was different ,[object Object],[object Object],[object Object],[object Object]
Age of onset ,[object Object],[object Object]
Clinical Manifestation of hypocalemia
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Few articles
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Absence of Basal Ganglia calcification ,[object Object],BASAL GANGLIA CALCIFICATION Birth anoxia Idiopathic (most common) bilateral and symmetrical Toxoplasmosis / CMV - usually not limited to basal ganglia Hypoparathyroidism / pseudohypoparathyroidism Fahr syndrome Cockayne syndrome
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Difference of treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
THANK - YOU
Hereditary hypoparathyroidism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Acquired hypoparathyroidism ,[object Object],[object Object],[object Object],[object Object]
 
Calcium Regulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hypocalcemia/Hypoparathyroidism
Hypocalcemia/ Hypoparathyroidism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypoparathyroidism: Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypoparathyroidism: Treatment
TREATMENT ,[object Object],[object Object],[object Object],[object Object]
HYPOMAGNESEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PTH overwhelmed ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis of hypoclcemia ,[object Object],[object Object],[object Object],[object Object]

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An Interesting Case of Seizure

  • 1. A CASE OF SEIZURE in a Young Girl PROF.DR.MAGESHKUMAR’S UNIT Devendra Patil
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  • 22. Functional classification of hypocalcemia PTH low/ absent: PTH ineffective Pth overwhelmed: Hereditary Acquired Hypomagnesemia CRF Active VIT-D lacking: Reduced intake Low sunlight Anticonvulsant use Dependant rickets- type1 Active vitamin-d ineffective: Dependant rickets- type 2 Pseudo hypo PTH severe acute hyperphosphatemia Tumour lysis ARF Rhabdomyolysis Burns Pancreatitis Osteitis fibrosa after para thyroidectomy
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  • 41. THANK - YOU
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