Paroxysmal strabismus and stridor acquired in childhood: Do not overlook calcemia! - 17/01/20
Cet article a été publié dans un numéro de la revue, cliquez ici pour y accéder
Abstract |
Hypocalcemia is known to induce stridor but was rarely reported to cause strabismus. We report the case of a 4-year-old girl who presented with paroxysmal stridor and strabismus with diplopia, persisting for several weeks. Severe hypocalcemia (1.25 mmol/L) was finally diagnosed and was related to hypoparathyroidism, which was the first manifestation of autoimmune polyendocrinopathy–candidiasis–ectodermal dystrophy (APECED) in this patient. Strabismus and stridor both resolved after normalization of calcemia. This case report is a rare observation of paroxysmal strabismus caused by hypocalcemia and it highlights the importance of calcium monitoring in any situation of atypical neurological symptoms.
Le texte complet de cet article est disponible en PDF.Keywords : Hypocalcemia, Strabismus, Ophthalmoparesis, Diplopia, Vocal cord paresis, Stridor, Hypoparathyroidism, APECED
Plan
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?