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Hypocalcaemia Assessment: An Efficient Measure for Prevention of Seizures

Authors: Anuvrat Bhatnagar; Rahul Jain; Prashant P Choubey;

Hypocalcaemia Assessment: An Efficient Measure for Prevention of Seizures

Abstract

The present study aimed to assess and compare the levels of calcium in cases and controls with and without seizure disorders respectively. It also aimed to assess association of serum calcium levels with time since seizures and causes of seizures. This case control study conducted in Department of Medicine, People’s Hospital Bhopal for a period of 18 months included 77 cases with seizure disorders and equal number of controls without seizure disorders. Data regarding detailed history regarding presenting complaints, time siThe present study aimed to assess and compare the levels of calcium in cases and controls with and without seizure disorders respectively. It also aimed to assess association of serum calcium levels with time since seizures and causes of seizures. This case control study conducted in Department of Medicine, People’s Hospital Bhopal for a period of 18 months included 77 cases with seizure disorders and equal number of controls without seizure disorders. Data regarding detailed history regarding presenting complaints, time since onset of seizures, causes of seizures was obtained from cases. Mean calcium level amongst cases was 8.99±0.75 mg/dl and that amongst controls was 9.32±1.11 mg/dl. The present study observed significantly lower calcium level amongst cases as compared to controls (p<0.05). No statistically significant association of mean calcium level was observed with time since seizures and various causes of seizures (p>0.05). Serum calcium levels has significant association with seizures since there is some level of hypocalcemia in few though not all seizure patients. Calcium supplementation may be considered in patients with intractable seizures and in patients with drug refractory seizures. Thus calcium levels must be evaluated in every seizure patient irrespective of cause.nce onset of seizures, causes of seizures was obtained from cases. Mean calcium level amongst cases was 8.99±0.75 mg/dl and that amongst controls was 9.32±1.11 mg/dl. The present study observed significantly lower calcium level amongst cases as compared to controls (p<0.05). No statistically significant association of mean calcium level was observed with time since seizures and various causes of seizures (p>0.05). Serum calcium levels has significant association with seizures since there is some level of hypocalcemia in few though not all seizure patients. Calcium supplementation may be considered in patients with intractable seizures and in patients with drug refractory seizures. Thus calcium levels must be evaluated in every seizure patient irrespective of cause.

{"references": ["1.\tLongo, Fauci, Kasper, Hauser, Jameson, Loscalzo. Harrison's Principles of Internal Medicine 2012: 18th edition: ch 369: pg 3251: 3251-3563. 2.\tRadhakrishnan K, Pandian JD, Santhoshkumar T, Thomas SV, Deetha TD, Sarma PS, Jayachandran D, Mohamed E. Prevalence, knowledge, attitude, and practice of epilepsy in Kerala, South India. Epilepsia. 2000 Aug;41(8):1027-35. 3.\tLiu MJ, Li JW, Shi XY, Hu LY, Zou LP. Epileptic seizure, as the first symptom of hypoparathyroidism in children, does not require antiepileptic drugs. Child's Nervous System. 2017 Feb 1;33(2):297-305. 4.\tKrnjevi\u0107 K, Pumain R, Renaud L. The mechanism of excitation by acetylcholine in the cerebral cortex. The Journal of physiology. 1971 May 1;215(1):247-68. 5.\tLiu S, Yu W, L\u00fc Y. The causes of new-onset epilepsy and seizures in the elderly. Neuropsychiatric disease and treatment. 2016;12:1425. 6.\tGambardella A, Labate A. The role of calcium channel mutations in human epilepsy. InProgress in brain research 2014 Jan 1 (Vol. 213, pp. 87-96). Elsevier. 7.\tWang G, Bochorishvili G, Chen Y, Salvati KA, Zhang P, Dubel SJ, Perez-Reyes E, Snutch TP, Stornetta RL, Deisseroth K, Erisir A. CaV3. 2 calcium channels control NMDA receptor-mediated transmission: a new mechanism for absence epilepsy. Genes & development. 2015 Jul 15;29(14):1535-51. 8.\tCastilla\u2010Guerra L, Fern\u00e1ndez\u2010Moreno MD, L\u00f3pez\u2010Chozas JM, Fern\u00e1ndez\u2010Bola\u00f1os R. Electrolytes disturbances and seizures. Epilepsia. 2006 Dec;47(12):1990-8. 9.\tAihara S, Yamada S, Kondo M, Oka H, Kamimura T, Harada A, Nakano T, Tsuruya K, Kitazono T. Severe Hypocalcemia and Resulting Seizure Caused by Vitamin D Deficiency in an Older Patient Receiving Phenytoin: Eldecalcitol and Maxacalcitol Ointment as Potential Therapeutic Options for Hypocalcemia. Case reports in nephrology. 2019;2019. 10.\tRiccardi D, Brown EM. Physiology and pathophysiology of the calcium-sensing receptor in the kidney. American Journal of Physiology-Renal Physiology. 2010 Mar;298(3):F485-99. 11.\tAbdullahi I, Watila MM, Shahi N, Nyandaiti YW, Bwala SA. Serum magnesium in adult patients with idiopathic and symptomatic epilepsy in Maiduguri, Northeast Nigeria. Niger J ClinPract 2019;22:186-93. 12.\tVictor M, Ropper AH, Adams R, Samuels MA. Adams and Victor's principles of neurology. McGraw Hill Medical,; 2005 Apr 19. 13.\tHan P, Trinidad BJ, Shi J. Hypocalcemia-induced seizure: demystifying the calcium paradox. ASN neuro. 2015 Mar 23;7(2):1759091415578050."]}

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hypocalcemia, seizure, serum calcium

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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