Journal of Child Neurology

 

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Journal of Child Neurology, Vol. 21, No. 10, 896-898 (2006)
DOI: 10.1177/08830738060210101201

Should We Routinely Perform Blood Tests in Children With Uncontrolled Seizures?

Cemile Durmaz, MD

Department of Pediatrics Adana Teaching and Research Center Baskent University Adana, Turkey, dcemile72{at}hotmail.com

Sibel Tulgar Kinik, MD

Department of Pediatric Endocrinology Baskent University Ankara, Turkey

Emel Özyürek, MD

Department of Pediatrics Adana Teaching and Research Center Baskent University Adana, Turkey

Iknur Erol, MD

Department of Pediatric Neurology Baskent University Ankara, Turkey

Ouz Canan, MD

Department of Pediatrics Adana Teaching and Research Center Baskent University Adana, Turkey

Füsun Alehan, MD

Department of Pediatric Neurology Baskent University Ankara, Turkey

The value of biochemical tests in treating patients with uncontrolled seizures is unclear. We present the case of an 8-year-old boy with uncontrolled seizures receiving two antiepileptic drugs. He had been diagnosed with recurrent herpes encephalitis and treated with acyclovir 1 year previously. Laboratory blood analyses, performed because of his uncontrolled seizure episodes, revealed hypocalcemia. Hypoparathyroidism was detected with elevated levels of phosphorus and low levels of parathormone. In conclusion, blood tests, especially to measure calcium, in children with uncontrolled seizures are suggested. Hypoparathyroidism causing hypocalcemia, as present here, is not a rare occurrence. (J Child Neurol 2006;21:896—898; DOI 10.2310/7010.2006.00207).


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