Post- Surgical Hypoparathyroidism-Challenges in Management
DOI:
https://doi.org/10.60787/njgp.v20i2.170Keywords:
Seizures, Hypoparathyroidism, HypocalcemiaAbstract
Post-surgical hypoparathyroidism is not frequently reported in Africa. The communication reports seizure disorder as a rare complication of post total thyroidectomy in a Nigerian. A 49-year-old woman who presented with 18 days history of multiple tonic-clonic seizures preceded by tingling sensation in the fingers and around the mouth noticed three weeks post total thyroidectomy. She had a healing scar on her neck with Chvostek’s and Trousseau’s sign positivity. There was presence of transmitted breathe sounds. Blood chemistry confirmed severe hypocalcemia, hypomagnesemia and hypoparathyroidism. There was leukocytosis with neutrophilia and thyroid profile was in keeping with hypothyroidism.The findings were compatible with Hypocalcemia seizures secondary to post-surgical hypoparathyroidism following total thyroidectomy complicated by aspiration pneumonitis. She was admitted to the High Dependency Unit (HDU) and commenced on intravenous infusion of calcium gluconate, magnesium sulphate, anti seizures medications and discharged 37 days post admission.
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