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This report aims to illustrate the occurrence of late-onset hypocalcemic seizures in a child and its connection to specific endocrine disorders.

Late-onset Hypocalcemic Seizures: A Presenting Feature of Undiagnosed Pseudohypoparathyroidism and Albright Hereditary Osteodystrophy - A Case Report

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Case report highlights hypocalcemic seizures in older children, suggesting underlying genetic disorders.

This report aims to illustrate the occurrence of late-onset hypocalcemic seizures in a child and its connection to specific endocrine disorders.
Detailed clinical evaluation of a 9-year-old girl with seizures and characteristic features.
Laboratory tests revealed hypocalcemia and elevated parathyroid hormone levels.
Neuroimaging and radiographs to assess basal ganglia calcifications and metacarpal shortening.
The child was diagnosed with pseudohypoparathyroidism associated with Albright hereditary osteodystrophy.
Management included intravenous calcium and ongoing oral supplementation.
Follow-up demonstrated normalization of Vitamin D but persistent parathyroid hormone elevation.

Goel et al. (2026) studied this question.

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