title: Should we routinely perform blood tests in children with uncontrolled seizures?
abstract: 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.
authors.affiliation: Adana Teaching and Research Center, Başkent University, Adana, Turkey. dcemile72@hotmail.com
authors.forename: Cemile
authors.initials: C
authors.lastname: Durmaz
authors.forename: Sibel
authors.initials: S
authors.lastname: Tulgar Kinik
authors.forename: Emel
authors.initials: E
authors.lastname: Ozyürek
authors.forename: Ilknur
authors.initials: I
authors.lastname: Erol
authors.forename: Oğuz
authors.initials: O
authors.lastname: Canan
authors.forename: Füsun
authors.initials: F
authors.lastname: Alehan
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D002648:Child; D006403:Hematologic Tests; D006801:Humans; D008297:Male; D012640:Seizures / Q000097:blood* / Q000188:drug therapy
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine