Author/Authors :
AKGÜL, Pınar Dr. Ersin Arslan State Hospital - Clinic of Neurology, Turkey , ÖZSAN, Müge Niğde State Hospital - Clinic of Endocrinology, Turkey , YİĞİTER, Remzi Gaziantep University - Faculty of Medicine - Department of Neurology, Turkey , YILMAZ, Mustafa Harran University - Faculty of Medicine - Department of Neurology, Turkey , AKÇALI, Aylin Gaziantep University - Faculty of Medicine - Department of Neurology, Turkey , NEYAL, Münife Gaziantep University - Faculty of Medicine - Department of Neurology, Turkey , ELÇİ, Mehmet Ali Hatay Kırıkhan State Hospital - Clinic of Neurology, Turkey , GEYİK, Sırma Gaziantep University - Faculty of Medicine - Department of Neurology, Turkey
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 follow-up, 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
