CENTRAL NEUROLOGICAL COMPLICATIONS OF HYPOPARATHYROIDISM

Oscar Sugar

Archives of Neurology And Psychiatry · 1953 · 83 citations · 39 references

Concepts

Abstract

IT IS WELL known that calcium ions are necessary for the proper functioning of nerve tissue. Lack of calcium ion increases the excitability of nerve tissue to the point that, in vitro, mammalian A fibers will discharge spontaneously in the presence of low calcium (Kugelberg,11944). Arvanitaki2(1942) was able to create an artificial synapse (ephapse) by allowing nerve fibers to cross one another: In the presence of low calcium ions, impulses set up in the receiving fiber were able to initiate propagated responses. The increased neuromuscular irritability in mammals associated with hypocalcemia is commonly termed tetany and is looked for in terms of carpopedal spasm, laryngeal stridor, muscular cramps, Chvostek's sign, and changes in electrical excitability of the peripheral nerves. Koenig and associates3(1952) have shown by nerve section and use of curare that all the phenomena of tetany can be ascribed to iterative discharges in

References

39