Marlena Broncel, Marzena Koziróg, Justyna Zabielska, Adam R. Poliwczak Figure 2. Brain CT. Bilateral massive calcifications of cerebellar dentate nucleus and white matter of cerebellum (a), calcification in pons (b) Figure 3. Brain CT. Calcifications of caudate nucleus (d), lenticular nucleus: putamen (es) and globus pallidus (eg), white matter of centrum semiovale (f) Figure 4. Brain CT. Calcifications of thalamus (c), caudate nucleus (d), putamen (es), white matter of centrum semiovale (f), grey matter of brain fissures (g) Figure 5. Brain CT. Calcifications of white matter of centrum semiovale (f), grey matter of brain fissures (g) and ten days after admission episodes of Initially, the symptoms of hypocalcaemia were unconsciousness were observed by medical controlled with calcium gluconate infusion; professionals. Each episode lasted circa 15 min; subsequently oral calcium carbonate and α-calcidol involuntary passing of urine was noted. The patient were started. Pharmacotherapy of heart failure reported that episodes of unconsciousness had with losartan, bisoprolol, spironolactone and occurred about once a month during the last year. hydrochlorothiazide was administered. An additional Each episode lasted 10-20 min. In some cases treatment with thyroxine, valproic acid and sertraline involuntary passing of urine was observed. Witnesses was also instituted. Restoration of normocalcaemia of these episodes related that after regaining resulted in full clinical improvement of cardiac consciousness, the patient’s consciousness was function in two weeks. Improvement in echo- clouded for about 30 min. Typical epileptic seizures cardiogram was also noted: signs of left ventricle were not observed. ECG examination performed hypokinesis retreated and EF increased up to 52%. during an episode of unconsciousness did not reveal Attacks of unconsciousness responded well to any abnormalities. Ultimately, the patient was valproic acid therapy. diagnosed as having BSPDC and hypocalcaemic heart Telephone contact with the patient’s husband failure related to idiopathic hypoparathyroidism. made three months after discharge from hospital 120 Arch Med Sci 1, February / 2010