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Difficulties in the differential diagnosis of epileptic and hypocalcemic seizures in children and adolescents

https://doi.org/10.14412/2074-2711-2018-1S-66-74

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Abstract

Epileptic seizures require differential diagnosis with other paroxysmal conditions, including metabolic seizures. A variety of electrolyte changes can result in central nervous system dysfunction, including that as convulsive seizures. The paper describes electrolyte disorders leading to seizures, as well as their clinical features. It separately presents the  syndromes accompanied by hypocalcemia, in which there may be  convulsive paroxysms. The paper describes three clinical cases of  hypocalcemic seizures. It gives recommendations for the diagnosis and  management of patients with suspected metabolic seizures.

About the Authors

I. O. Shchederkina
Morozov City Children’s Clinical Hospital, Moscow Healthcare Department
Russian Federation
1/9, Fourth Dobryninsky Lane, Moscow 119049


K. A. Orlova
Morozov City Children’s Clinical Hospital, Moscow Healthcare Department
Russian Federation
1/9, Fourth Dobryninsky Lane, Moscow 119049


I. E. Koltunov
Morozov City Children’s Clinical Hospital, Moscow Healthcare Department RUDN University of Russia
Russian Federation

1/9, Fourth Dobryninsky Lane, Moscow 119049

6, Miklukho-Maklai St., Moscow 117198



E. M. Orlova
National Medical Research Center of Endocrinology, Ministry of Health of Russia
Russian Federation
11, Dmitry Ulyanov St., Moscow 117036


D. Yu. Korneev
Morozov City Children’s Clinical Hospital, Moscow Healthcare Department
Russian Federation
1/9, Fourth Dobryninsky Lane, Moscow 119049


O. F. Vykhristyuk
Morozov City Children’s Clinical Hospital, Moscow Healthcare Department
Russian Federation
1/9, Fourth Dobryninsky Lane, Moscow 119049


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For citation:


Shchederkina I.O., Orlova K.A., Koltunov I.E., Orlova E.M., Korneev D.Y., Vykhristyuk O.F. Difficulties in the differential diagnosis of epileptic and hypocalcemic seizures in children and adolescents. Neurology, Neuropsychiatry, Psychosomatics. 2018;10(1S):66-74. (In Russ.) https://doi.org/10.14412/2074-2711-2018-1S-66-74

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