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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Tetany Related To Thyroid Disorder?

hello. i have a question about epilepsy. still cant believe i have it. in my case it looks slike spasms of hands and feet, lost of consciousness and post epi amnesia. i would like to know if it was a tetany actually connected with thyroid disorder i have too- hypotireosis . i informed a bit and heard about PTH - hypoparathirodism. i would like to know - if i treat this PTH would epi go away? maybe it is a concequence of this state. and how to trear hypoparathireodim? Please dont say to ask my doctor as it is not that easy.

Thu, 6 Nov 2014
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Endocrinologist,  's  Response
Hi,

Welcome to HCM. I had gone through your question and understand your concerns.

The spasm that you describe is seen in tetany. But loss of consciousness and post epileptic amnesia is unlikely. If I were your treating physician I would have ordered for a calcium and phosphorus level in your blood. If calcium is low, I would have ordered for serum PTH and Vitamin D.

Tetany is likely if calcium is low - whether it is due to low PTH (hypoparathyroidism) or low Vitamin D. Both conditions are treated with calcium tablets and vitamin D (active vitamin D - calcitriol in hypoparathyroidism). This is not related to thyroid.

So I would suggest you to make decisions based on serum calcium reports. If epilepsy is due to tetany, it may go with correction of low calcium.


Hope I have answered your question. If you have any further questions I will be happy to help.


Regards
Dr Ajish TP
Consultant Endocrinologist
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Is Tetany Related To Thyroid Disorder?

Hi, Welcome to HCM. I had gone through your question and understand your concerns. The spasm that you describe is seen in tetany. But loss of consciousness and post epileptic amnesia is unlikely. If I were your treating physician I would have ordered for a calcium and phosphorus level in your blood. If calcium is low, I would have ordered for serum PTH and Vitamin D. Tetany is likely if calcium is low - whether it is due to low PTH (hypoparathyroidism) or low Vitamin D. Both conditions are treated with calcium tablets and vitamin D (active vitamin D - calcitriol in hypoparathyroidism). This is not related to thyroid. So I would suggest you to make decisions based on serum calcium reports. If epilepsy is due to tetany, it may go with correction of low calcium. Hope I have answered your question. If you have any further questions I will be happy to help. Regards Dr Ajish TP Consultant Endocrinologist