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[Seizures secondary to hypomagnesemia in patients with short bowel syndrome].
- Source :
-
Nutricion hospitalaria [Nutr Hosp] 2010 Nov-Dec; Vol. 25 (6), pp. 1037-40. - Publication Year :
- 2010
-
Abstract
- Magnesium (Mg) is the fourth most abundant cation in the body and plays a key role in numerous cellular functions such as glycolysis and energy metabolism. Its deficit may cause gastrointestinal disturbances, cardiovascular and neurological diseases. Among the latter, the symptoms may range from muscle weakness and numbness, to lethargy, hyperreflexia, ataxia, tetany, convulsions and coma. We report the case of a man of 65 with short bowel syndrome secondary to extensive bowel resection for sigma neoplasm and subsequent peritonitis, with end ileostomy, who presented several episodes of tonic-clonic seizures secondary to severe magnesium deficiency as a result a decrease in intestinal absorption of losses for high debit ileostomy. After beginning treatment with intravenous magnesium (iv) resulted in plasma levels normalize. Subsequently instituted dietary and pharmacologic treatment recommendations as well as magnesium and high-dose oral calcitriol to increase their absorption.
- Subjects :
- Aged
Calcitriol therapeutic use
Epilepsy, Tonic-Clonic etiology
Humans
Infusions, Intravenous
Magnesium administration & dosage
Magnesium therapeutic use
Magnesium Deficiency therapy
Male
Sigmoid Neoplasms complications
Sigmoid Neoplasms surgery
Vitamins therapeutic use
Magnesium Deficiency complications
Magnesium Deficiency etiology
Seizures etiology
Short Bowel Syndrome complications
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 1699-5198
- Volume :
- 25
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Nutricion hospitalaria
- Publication Type :
- Academic Journal
- Accession number :
- 21519778