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Japanese

DEVELOPMENT OF TETANY IN SIBLINGS SUFFERED FROM BARTTER'S SYNDROME Nobuyuki Suitsu 1 , Shigetomo Kita 1 , Shigekazu Okamoto 1 , Shigeru Kimura 2 , Yasuko Shiozaki 2 1Department of Neuropsychiatry, Kansai Medical University 2Third Department of Internal Medicine, Kansai Medical University pp.749-754
Published Date 1984/8/1
DOI https://doi.org/10.11477/mf.1406205360
  • Abstract
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The present authors observed and treated a siblings case of normocalcemic tetany, which is considered as belonging to Bartter's syndrome. As far as we know, there are a number of fami-lial cases of tetany in literature, but none of them spreads over more than two generations, so that the tetany appears to be recessive in hereditary characters including our patients. Both of them presented tetanic seizures in the course of Bartter's syndrome and they were regarded as one of vari-ous manifestations of the syndrome. In other words, the Bartter's syndrome or the hypopotas-semia should be one of the fundamental disorders for developing tetanic symptom.

The tetanic symptoms became extinct during the treatment with spironolactone against hypopotas-semia. Of the two patients, younger sister had shown an agitated depression developed on her childish and oversensitive personality, but the depression was improved in parallel to the reco- very from tetany and hypopotassemia. Therefore, it appears to be certain that the patients would have some premorbid deviation of personality traits, where symptomatic psychoses could be at-tributed, in the case of Bartter's syndrome.

Generally speaking the psychic disorders, such as personality deviation and psychotic episode, seem to by very important symptoms in patient with Bartter's syndrome as well as in patient with hypocalcemia or hypoparathyroidism.


Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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