A case of pseudotumor cerebri associated with idiopathic hypopara-thyroidism and vitamin B12 deficiency

Volume: 54 Number: 3 September 1, 2015
  • Pınar Akgül
  • Müge Özsan
  • Remzi Yiğiter
  • Mustafa Yılmaz
  • Aylin Akçalı
  • Münife Neyal
  • Mehmet Ali Elçi
  • Sırma Geyik
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A case of pseudotumor cerebri associated with idiopathic hypopara-thyroidism and vitamin B12 deficiency

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.

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Pınar Akgül

Müge Özsan

Remzi Yiğiter

Mustafa Yılmaz

Aylin Akçalı

Münife Neyal

Mehmet Ali Elçi

Sırma Geyik

Publication Date

September 1, 2015

Submission Date

September 1, 2015

Acceptance Date

-

Published in Issue

Year 2015 Volume: 54 Number: 3

DOI

https://doi.org/10.19161/etd.344136

IZ

https://izlik.org/JA96SG59TX

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RIS / Bibtex
Vancouver
1.Pınar Akgül, Müge Özsan, Remzi Yiğiter, Mustafa Yılmaz, Aylin Akçalı, Münife Neyal, Mehmet Ali Elçi, Sırma Geyik. İdiopatik hipoparatiroidizm ve B12 eksikliğinin eşlik ettiği bir psödotümör serebri vakası. EJM. 2015 Sep. 1;54(3):139-41. doi:10.19161/etd.344136

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