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Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature review

https://doi.org/10.14412/2074-2711-2021-3-82-87

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Abstract

Hypoparathyroidism is a rare disorder of mineral metabolism, characterized by hypocalcemia as a result of the absence or deficiency of parathyroid hormone. The severity of the condition of patients with this disease is associated with both acute episodes of hypocalcemia due to cardiac arrhythmias, laryngo- or bronchospasm, generalized seizures, and manifestations of long-term complications of the disease, such as kidney pathology. In some cases, the normalization of phosphorus-calcium metabolism due to standard treatment with active metabolites / analogues of vitamin D and calcium salts does not lead to a reduction in clinical symptoms, which requires differential diagnosis with other conditions, including such neuropsychiatric disorders as epileptic seizures and their equivalents, syncope, and psychogenic nonepileptic seizures. We present a case report of a woman with convulsions, which developed due to dissociative (conversion motor) disorder, with chronic postoperative hypoparathyroidism, receiving standard treatment and having normo- and hypercalcemia.

About the Authors

Yu. A. Krupinova
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

Yulia Aleksandrovna Krupinova

11, Dm. Ulyanov St., Moscow 117036



T. A. Zelenkova-Zakharchuk
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

11, Dm. Ulyanov St., Moscow 117036



E. V. Kovaleva
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

11, Dm. Ulyanov St., Moscow 117036



Sh. T. Ashurbekova
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

11, Dm. Ulyanov St., Moscow 117036



A. K. Eremkina
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

11, Dm. Ulyanov St., Moscow 117036



N. G. Mokrysheva
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

11, Dm. Ulyanov St., Moscow 117036



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For citation:


Krupinova Yu.A., Zelenkova-Zakharchuk T.A., Kovaleva E.V., Ashurbekova S.T., Eremkina A.K., Mokrysheva N.G. Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature review. Neurology, Neuropsychiatry, Psychosomatics. 2021;13(3):82-87. (In Russ.) https://doi.org/10.14412/2074-2711-2021-3-82-87

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)