RESUMO
A 31-year-old male presented with generalized new-onset tonic-clonic seizure related to severe hypocalcaemia [serum calcium 1.2 mmol/l] caused by idiopathic hypoparathyroidism [parathyroid hormone concentration 6pg; normal 15-65pg]. Computerized tomographic scan showed bilateral, symmetrical, intracranial calcifications involving the basal ganglia and the cerebellum. There are few reports in clinical literature describing new-onset seizure caused by primary hypoparathyroidism in adulthood and hypoparathyroidism needs to be considered in the differential diagnosis of adult-onset seizure
RESUMO
Amongst clinicians the diagnostic approach differs to patients presenting with isolated third cranial nerve palsy. Some issues remain controversial and the management of this condition is a challenge. In a 38-year-old male presenting with pupil-involving oculomotor nerve palsy [internal dysfunction] the cause was found to be a double posterior communicating artery; a very rare cause of third nerve palsy