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TETANY AND EPILEPSY

TETANY AND EPILEPSY Abstract BEFORE the functions of the parathyroids and their role in the pathogenesis of parathyroid tetany were known, Mikulicz1 (1886) and Hoffmann2 (1888) had reported cases in which thyroidectomy was followed by typical attacks of epilepsy alternating with tetany. Kraepelin3 (1890) also reported a case of postoperative epilepsy but did not mention symptoms of tetany. Many papers on the subject were published later, and at present over 100 cases are recorded in the literature. After it had been proved that parathyroid insufficiency was the cause of postoperative tetany, the problem of a possible relation between tetany and epilepsy arose in those cases in which both syndromes were present. Two sets of opinions were current. According to Sachs4 (1926) and Kalischer5 (1926), tetany and epilepsy are two separate diseases, which happen to occur simultaneously in the patient, without there being any causal relation between them. On the References 1. Mikulicz, J.: Beitrag zur Operation des Kropfes , Wien. med. Wchnschr. 1:40, 1886. 2. Hoffmann, J.: Zur Lehre von der Tetanie , Deutsche Arch. klin. Med. 43:53, 1888. 3. Kraepelin, E.: Zur Myxödemfrage , Neurol. Centralbl. 9:65, 1890. 4. Sachs, I.: Besteht ein Zusammenhang zwischen Epilepsie und Tetanie? Deutsche Ztschr. Nervenh. 92:304, 1926.Crossref 5. Kalischer, S.: Die Beziehungen der Tetanie zur Epilepsie , Arch. Psychiat. 78:168, 1926.Crossref 6. Westphal, A.: Weiterer Beitrag zur Lehre von der Tetanie , Berl. klin. Wchnschr. 33: 849, 1901. 7. Ehrhardt, O.: Über epileptiformes Auftreten der Tetaniathyreopriva , Mitt. Grenzgeb. Med. u. Chir. 2:225, 1902. 8. Pineles, F.: Zur Pathogenese der Tetanie , Deutsche Arch. klin. Med. 85:491, 1905. 9. Redlich, E.: Tetanie und Epilepsie , Monatsschr. Psychiat. u. Neurol. 30:439, 1911.Crossref 10. Kowallis, G. F.: Spontaneous Parathyroid Insufficiency , Proc. Staff Meet., Mayo Clin. 16:129, 1941. 11. Odoriz, J. B.; del Castillo, E. B.; Manfredi, F. J., and de la Balze, F. A.: El electroencefalograma en la insuficiencia paratiroidea humana, Medicina , Buenos Aires 4:1, 1943. 12. Sutphin, A.; Albright, F., and McCune, D. J.: Five Cases (Three in Siblings) of Idiopathic Hypoparathyroidism Associated with Moniliasis , J. Clin. Endocrinol. 3:625, 1943.Crossref 13. Taubenhaus, M., and Engle, H. M.: Clinical Observations on a Case of Idiopathic Tetany and Epilepsy , J. Clin. Endocrinol. 5:147, 1945.Crossref 14. Gotta, H., and Odoriz, J. B.: The Electroencephalogram in Hypoparathyroidism, Tetany and Epilepsy , J. Clin. Endocrinol. 8:674, 1948.Crossref 15. Marenzi, A. D., and Gerschman, H.: Estudio comparativo de algunos métodos de determinación de la calcemia , Rev. Soc. argent. de Biol. 9:375, 1933. 16. Fiske, C. H., and Subbarow, Y.: The Colorimetric Determination of Phosphorus , J. Biol. Chem. 66:375, 1925. 17. Prof. J. B. Odoriz interpreted the electroencephalograms, and Dr. F. Villalonga made the blood analyses. 18. Geert-Jørgensen, E.: Deux cas de tétanie parathyroïdoprive combinée à l'épilepsie , Acta psychiat. et neurol. 7:159, 1932.Crossref 19. Barr, D.; MacBryde, C. M., and Sanders, T. E.: Tetany with Increased Intracranial Pressure and Papilledema , Tr. A. Am. Physicians 53:227, 1938. 20. von Fernbach, J., and Szandanyi, Z.: Mit Hilfe des Elektrokardiogrammes diagnostizierte tetanoide Epilepsie , Klin. Wchnschr. 19:372, 1940.Crossref 21. Holtz, F.: Bericht über Erfahrungen mit A. T. 10 , Klin. Wchnschr. 13:104, 1934.Crossref 22. Beretervide, J. J.; Cárrega Casaffousth, C. F., and Rosenblatt, S.: Un caso de tetaniaepilepsia paratiropriva , Prensa méd. argent. 22:2293, 1935. 23. Elliot, T. R.: Treatment of Tetany , Lancet 1:641, 1935.Crossref 24. Knopse, H.: Über tetanische Störungen , Deutsche med. Wchnschr. 65:752, 1939.Crossref 25. Eaton, L. M., and Haines, S. F.: Parathyroid Insufficiency with Symmetrical Cerebral Calcification , J. A. M. A. 113:749 ( (Aug. 26) ) 1939.Crossref 26. Himsworth, H. P., and Maizels, M.: Vitamins D2 and D3 and A. T. 10 in Congenital Thyroid and Parathyroid Deficiency , Lancet 1:959, 1940.Crossref 27. Grinker, R.: Neurology , Ed. 2, Springfield, Ill., Charles C Thomas, Publisher, 1937, p. 844. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1951 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1951.02320120047006
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Abstract

Abstract BEFORE the functions of the parathyroids and their role in the pathogenesis of parathyroid tetany were known, Mikulicz1 (1886) and Hoffmann2 (1888) had reported cases in which thyroidectomy was followed by typical attacks of epilepsy alternating with tetany. Kraepelin3 (1890) also reported a case of postoperative epilepsy but did not mention symptoms of tetany. Many papers on the subject were published later, and at present over 100 cases are recorded in the literature. After it had been proved that parathyroid insufficiency was the cause of postoperative tetany, the problem of a possible relation between tetany and epilepsy arose in those cases in which both syndromes were present. Two sets of opinions were current. According to Sachs4 (1926) and Kalischer5 (1926), tetany and epilepsy are two separate diseases, which happen to occur simultaneously in the patient, without there being any causal relation between them. On the References 1. Mikulicz, J.: Beitrag zur Operation des Kropfes , Wien. med. Wchnschr. 1:40, 1886. 2. Hoffmann, J.: Zur Lehre von der Tetanie , Deutsche Arch. klin. Med. 43:53, 1888. 3. Kraepelin, E.: Zur Myxödemfrage , Neurol. Centralbl. 9:65, 1890. 4. Sachs, I.: Besteht ein Zusammenhang zwischen Epilepsie und Tetanie? Deutsche Ztschr. Nervenh. 92:304, 1926.Crossref 5. Kalischer, S.: Die Beziehungen der Tetanie zur Epilepsie , Arch. Psychiat. 78:168, 1926.Crossref 6. Westphal, A.: Weiterer Beitrag zur Lehre von der Tetanie , Berl. klin. Wchnschr. 33: 849, 1901. 7. Ehrhardt, O.: Über epileptiformes Auftreten der Tetaniathyreopriva , Mitt. Grenzgeb. Med. u. Chir. 2:225, 1902. 8. Pineles, F.: Zur Pathogenese der Tetanie , Deutsche Arch. klin. Med. 85:491, 1905. 9. Redlich, E.: Tetanie und Epilepsie , Monatsschr. Psychiat. u. Neurol. 30:439, 1911.Crossref 10. Kowallis, G. F.: Spontaneous Parathyroid Insufficiency , Proc. Staff Meet., Mayo Clin. 16:129, 1941. 11. Odoriz, J. B.; del Castillo, E. B.; Manfredi, F. J., and de la Balze, F. A.: El electroencefalograma en la insuficiencia paratiroidea humana, Medicina , Buenos Aires 4:1, 1943. 12. Sutphin, A.; Albright, F., and McCune, D. J.: Five Cases (Three in Siblings) of Idiopathic Hypoparathyroidism Associated with Moniliasis , J. Clin. Endocrinol. 3:625, 1943.Crossref 13. Taubenhaus, M., and Engle, H. M.: Clinical Observations on a Case of Idiopathic Tetany and Epilepsy , J. Clin. Endocrinol. 5:147, 1945.Crossref 14. Gotta, H., and Odoriz, J. B.: The Electroencephalogram in Hypoparathyroidism, Tetany and Epilepsy , J. Clin. Endocrinol. 8:674, 1948.Crossref 15. Marenzi, A. D., and Gerschman, H.: Estudio comparativo de algunos métodos de determinación de la calcemia , Rev. Soc. argent. de Biol. 9:375, 1933. 16. Fiske, C. H., and Subbarow, Y.: The Colorimetric Determination of Phosphorus , J. Biol. Chem. 66:375, 1925. 17. Prof. J. B. Odoriz interpreted the electroencephalograms, and Dr. F. Villalonga made the blood analyses. 18. Geert-Jørgensen, E.: Deux cas de tétanie parathyroïdoprive combinée à l'épilepsie , Acta psychiat. et neurol. 7:159, 1932.Crossref 19. Barr, D.; MacBryde, C. M., and Sanders, T. E.: Tetany with Increased Intracranial Pressure and Papilledema , Tr. A. Am. Physicians 53:227, 1938. 20. von Fernbach, J., and Szandanyi, Z.: Mit Hilfe des Elektrokardiogrammes diagnostizierte tetanoide Epilepsie , Klin. Wchnschr. 19:372, 1940.Crossref 21. Holtz, F.: Bericht über Erfahrungen mit A. T. 10 , Klin. Wchnschr. 13:104, 1934.Crossref 22. Beretervide, J. J.; Cárrega Casaffousth, C. F., and Rosenblatt, S.: Un caso de tetaniaepilepsia paratiropriva , Prensa méd. argent. 22:2293, 1935. 23. Elliot, T. R.: Treatment of Tetany , Lancet 1:641, 1935.Crossref 24. Knopse, H.: Über tetanische Störungen , Deutsche med. Wchnschr. 65:752, 1939.Crossref 25. Eaton, L. M., and Haines, S. F.: Parathyroid Insufficiency with Symmetrical Cerebral Calcification , J. A. M. A. 113:749 ( (Aug. 26) ) 1939.Crossref 26. Himsworth, H. P., and Maizels, M.: Vitamins D2 and D3 and A. T. 10 in Congenital Thyroid and Parathyroid Deficiency , Lancet 1:959, 1940.Crossref 27. Grinker, R.: Neurology , Ed. 2, Springfield, Ill., Charles C Thomas, Publisher, 1937, p. 844.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Dec 1, 1951

References