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Dynamic Visual Tests to Identify and Quantify Visual Damage and Repair Following Demyelination in Optic Neuritis Patients
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Optic neuritis as presenting primary hypoparathyroidism
Muhammad Fahad Arshad1,2, Rehmat Karim3,4, David Paling5
1Department of Diabetes and Endocrine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
BMJ Case Reports
|December 21, 2018
Summary
Hypoparathyroidism can cause optic neuritis, a rare but serious complication. This case highlights the importance of considering hypoparathyroidism in patients presenting with optic neuritis.
Area of Science:
- Neurology
- Endocrinology
- Ophthalmology
Background:
- Hypoparathyroidism is a rare endocrine disorder characterized by insufficient parathyroid hormone production.
- Common neurological complications include papilloedema and raised intracranial pressure.
- Optic neuritis is an exceptionally rare manifestation of hypoparathyroidism.
Observation:
- A 54-year-old male presented with symptoms consistent with classical optic neuritis.
- The patient was diagnosed with primary hypoparathyroidism.
Findings:
- The patient's optic neuritis was considered secondary to primary hypoparathyroidism.
- This case represents a rare association between hypoparathyroidism and optic neuritis.
Implications:
- This case underscores the need to investigate hypoparathyroidism in patients with unexplained optic neuritis.
- Early diagnosis and management of hypoparathyroidism may prevent or mitigate neurological complications.
- Further research is warranted to elucidate the pathophysiological mechanisms linking hypoparathyroidism and optic neuritis.
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