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Hypomagnesemia, a Rare Cause of Reversible Ataxia

BACKGROUND: A 61-year-old male patient presented with cerebellar syndrome, which had progressively worsened for 10 days, followed by a tonic-clonic seizure. PHENOMENOLOGY SHOWN: Blood analysis showed severe hypomagnesemia and a brain MRI showed T2 hyperintensity in the cerebellar hemispheres (Figure...

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Detalles Bibliográficos
Autores principales: López Domínguez, Daniel, Álvarez-Cienfuegos, Juan Rodríguez, Vera Cáceres, Carla Herminia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10162194/
https://www.ncbi.nlm.nih.gov/pubmed/37152624
http://dx.doi.org/10.5334/tohm.749
Descripción
Sumario:BACKGROUND: A 61-year-old male patient presented with cerebellar syndrome, which had progressively worsened for 10 days, followed by a tonic-clonic seizure. PHENOMENOLOGY SHOWN: Blood analysis showed severe hypomagnesemia and a brain MRI showed T2 hyperintensity in the cerebellar hemispheres (Figure 1). Therefore, the final diagnosis was cerebellar syndrome and epileptic seizures secondary to severe hypomagnesemia. EDUCATIONAL VALUE: In cases of subacute onset of ataxia, the possibility of ataxia secondary to hypomagnesemia should be considered, as it can be diagnosed with a basic blood test and there are potentially life-threatening outcomes in the absence of treatment, with a reversible course following early supplementation.