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报道6例以癫痫为主要表现的特发性甲状旁腺机能减退(IHP)患者,男4例,女2例,年龄23~37岁,平均28.3岁。6例均为强直-阵挛发作,其中1例合并失神发作。合并手足搐搦2例,智能减退4例,小脑症状1例,锥体外系症状1例。血钙1.13~1.58mmol/L,血磷1.09~2.08mmol/L。头颅CT6例均有对称性基底节、小脑齿状核钙化。EEG:广泛中度异常4例、重度异常2例。经用钙剂和VitD2治疗病情得到控制。提示对40岁以下出现不局限于苍白球钙化的患者应想到IHP,及时查血钙、磷
Reported in 6 cases of epilepsy as the main manifestation of idiopathic hypoparathyroidism (IHP) patients, 4 males and 2 females, aged 23 to 37 years, mean 28.3 years. 6 cases were tonic-clonic seizures, including 1 case of absence of seizures. 2 cases with tetany, 4 cases with decreased intelligence, 1 case with cerebellar symptoms and 1 case with extrapyramidal symptoms. Blood calcium 1.13 ~ 1.58mmol / L, phosphorus 1.09 ~ 2.08mmol / L. Head CT CT6 cases have symmetrical basal ganglia, cerebellar calcification. EEG: extensive moderate abnormalities in 4 cases, severe abnormalities in 2 cases. After treatment with calcium and VitD2 control of the disease. Prompted for patients under 40 years of age is not limited to pale globus pallidus in patients should think of IHP, timely detection of calcium, phosphorus