From Psychiatry to Neurology and Endocrinology: A Case of Hypoparathyroidism

A 31-year-old male patient developed extrapyramidal symptoms while on treatment for depression. He was investigated and found to suffer from hypoparathyroidism. He had calcification in the brain, signs and symptoms of neuromuscular irritability, and QT prolongation on electrocardiogram. He was treat...

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Autores principales: Gaba, Saurabh, Singla, Mandeep, Gupta, Monica, Dua, Ashish, Gaba, Nayana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Endocrinology/Diabetes/Metabolism
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586423/
https://www.ncbi.nlm.nih.gov/pubmed/33133833
http://dx.doi.org/10.7759/cureus.10666
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author Gaba, Saurabh
Singla, Mandeep
Gupta, Monica
Dua, Ashish
Gaba, Nayana
author_facet Gaba, Saurabh
Singla, Mandeep
Gupta, Monica
Dua, Ashish
Gaba, Nayana
author_sort Gaba, Saurabh
collection PubMed
description A 31-year-old male patient developed extrapyramidal symptoms while on treatment for depression. He was investigated and found to suffer from hypoparathyroidism. He had calcification in the brain, signs and symptoms of neuromuscular irritability, and QT prolongation on electrocardiogram. He was treated with calcium carbonate and calcitriol. Although he had marked improvement, bradykinesia persisted. This report highlights the importance of maintaining a high index of suspicion for hypocalcemia, and the importance of searching for an organic basis for psychiatric symptoms.
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spelling pubmed-75864232020-10-29 From Psychiatry to Neurology and Endocrinology: A Case of Hypoparathyroidism Gaba, Saurabh Singla, Mandeep Gupta, Monica Dua, Ashish Gaba, Nayana Cureus Endocrinology/Diabetes/Metabolism A 31-year-old male patient developed extrapyramidal symptoms while on treatment for depression. He was investigated and found to suffer from hypoparathyroidism. He had calcification in the brain, signs and symptoms of neuromuscular irritability, and QT prolongation on electrocardiogram. He was treated with calcium carbonate and calcitriol. Although he had marked improvement, bradykinesia persisted. This report highlights the importance of maintaining a high index of suspicion for hypocalcemia, and the importance of searching for an organic basis for psychiatric symptoms. Cureus 2020-09-26 /pmc/articles/PMC7586423/ /pubmed/33133833 http://dx.doi.org/10.7759/cureus.10666 Text en Copyright © 2020, Gaba et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Gaba, Saurabh
Singla, Mandeep
Gupta, Monica
Dua, Ashish
Gaba, Nayana
From Psychiatry to Neurology and Endocrinology: A Case of Hypoparathyroidism
title From Psychiatry to Neurology and Endocrinology: A Case of Hypoparathyroidism
title_full From Psychiatry to Neurology and Endocrinology: A Case of Hypoparathyroidism
title_fullStr From Psychiatry to Neurology and Endocrinology: A Case of Hypoparathyroidism
title_full_unstemmed From Psychiatry to Neurology and Endocrinology: A Case of Hypoparathyroidism
title_short From Psychiatry to Neurology and Endocrinology: A Case of Hypoparathyroidism
title_sort from psychiatry to neurology and endocrinology: a case of hypoparathyroidism
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586423/
https://www.ncbi.nlm.nih.gov/pubmed/33133833
http://dx.doi.org/10.7759/cureus.10666
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