Sagar Amitabh, Datta Gaurav, Jayaraman Muthukrishnan
Consultant (Acute Medicine), ULHT NHS, Lincoln County Hospital, United Kingdom.
Classified Specialist (Medicine), Base Hospital, Delhi Cantt, India.
Med J Armed Forces India. 2025 Jan-Feb;81(1):105-108. doi: 10.1016/j.mjafi.2023.11.010. Epub 2024 Jan 16.
Vitamin D deficiency is commonly seen in the general population, likely due to lack of adequate exposure to sunlight as well as lack of sufficient dietary intake. However, severe hypocalcemia secondary to vitamin D deficiency, manifesting as seizures is uncommon. We present a series of such cases encountered by us in the time frame of June 2020 to Dec 2021 (the first wave of the Covid-19 pandemic associated with a lockdown) during which patients of varying age groups presented with seizures. The only abnormality detected was severe hypocalcemia due to vitamin D deficiency and they all responded well to calcium and vitamin D replacement, without recurrence of seizures or hypocalcemia.
维生素D缺乏在普通人群中很常见,可能是由于缺乏充足的阳光照射以及饮食摄入不足。然而,维生素D缺乏继发的严重低钙血症表现为癫痫发作并不常见。我们呈现了2020年6月至2021年12月(与封锁相关的新冠疫情第一波期间)我们遇到的一系列此类病例,在此期间不同年龄组的患者出现了癫痫发作。检测到的唯一异常是维生素D缺乏导致的严重低钙血症,并且他们对钙和维生素D替代治疗反应良好,癫痫发作或低钙血症均未复发。