A case of pseudotumor cerebri associated with idiopathic hypopara-thyroidism and vitamin B12 deficiency
Journal Title: Ege Tıp Dergisi - Year 2015, Vol 54, Issue 3
Abstract
Idiopathic hypoparathyroidism is a heterogeneous disorder rarely involved in the etiology of pseudotumor cerebri, and characterized by low levels of parathormone accompanying hypocalcemia, hyperphosphatemia and vitamin D deficiency. A 38-year-old female patient was admitted to our clinic with the complaints of headache and blurred vision. Her neurological examination revealed bilateral papilledema which was more prominent in the left eye. Cranial magnetic resonance imaging findings of the patient were within normal ranges and cerebrospinal fluid (CSF) pressure was 270 mmH2O which was measured through a lumbar puncture (LP), then the patient was diagnosed with pseudotumor cerebri. Laboratory assessment revealed low parathormone (PTH) and vitamin D levels accompanying hypocalcemia and hyperphosphatemia; and the patient was diagnosed with idiopathic hypoparathyroidism. In her followup, no decline was observed in CSF pressure and in the repeated laboratory assessments, a decrease in the vitamin B12 level was observed, thus vitamin B12 supplementation was added to her treatment. In control LPs, CSF pressure (190 mmH2O) decreased as the blood calcium (Ca) and vitamin B12 levels increased.
Authors and Affiliations
Pınar AKGÜL, Müge ÖZSAN, Remzi YİĞİTER, Mustafa YILMAZ, Aylin AKÇALI, Münife NEYAL, Mehmet Ali ELÇİ, Sırma GEYİK
Keywords
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- EP ID EP343949
- DOI 10.19161/etd.344136
- Views 106
- Downloads 0
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