Abstract

MARTINEZ DE LA PLATA, JE; CANTO MANGANA, J; HERRERA EXPOSITO, M  and  GOMEZ DE ONA, J. Acute seizure crisis after an unexpected sudden hypomagnesemia. Rev. OFIL·ILAPHAR [online]. 2023, vol.33, n.1, pp.98-100.  Epub Nov 27, 2023. ISSN 1699-714X.  https://dx.doi.org/10.4321/s1699-714x2023000100018.

Hypomagnesemia, one of the most common underdiagnosed metabolic disorders in patients admitted to Postoperative Intensive Care. It is associated with presence of hypocalcemia, hypokalemia, and alkalosis. Severe magnesium deficiency can trigger life-threatening cardiac and neurological disorders however those clinical effects have not been reported immediately after surgery or magnesium infusion cessation.

We present a case of women who had several switch-off episodes and generalized sudden seizures secondary to hypomagnesemia without any metabolic disturbances, even after replenishing magnesium levels.

It underlines the importance, of continuous patient´s motorization who undergoes intestinal elective surgery and gene screening.

Although this side effect has been reported, evidence not showed the immediacy of our case and different course than expected due to concomitant electrolytes disturbances were not found. Magnesium deficiency should be taken in patients undergoing elective bowel surgery with greater resection than 50 centimeters. This deficiency may occur as single electrolyte disturbance with sudden onset.

Keywords : Hypomagnesemia; seizures; intensive care.

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