tetany

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tetany

(tĕt`ənē), condition of mineral imbalance in the body that results in severe muscle spasms. Tetany occurs when the concentration of calcium ions (Ca++) in extracellular fluids such as plasma falls below normal. The nervous system becomes increasingly excitable, and nerves discharge spontaneously, sending impulses to skeletal muscles and causing spasmodic contractions. Mild tetany is characterized by tingling in the fingers, toes, and lips; acute tetany, consisting of severe muscular contractions, tremors, and cramps, can result in death. Abnormally low extracellular calcium ion concentration can result from failure of the parathyroid glandsparathyroid glands
, four small endocrine bodies, located behind the thyroid gland, that govern calcium and phosphorus metabolism. These four masses of tissue (each about the size of a pea) are difficult to distinguish from the thyroid and are often embedded in it.
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 to release parathyroid hormone, the substance responsible for the regulation of calcium concentration in the body; a deficiency in vitamin D, which facilitates calcium ion absorption from the gastrointestinal tract; or alkalosis, an excessively alkaline state of body fluids resulting from persistent vomiting, rapid breathing, or excess activity of the hormone aldosteronealdosterone
, steroid secreted by the cortex of the adrenal gland. It is the most potent hormone regulating the body's electrolyte balance. Aldosterone acts directly on the kidney to decrease the rate of sodium-ion excretion (with accompanying retention of water), and to
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. Most forms of tetany can be treated with calcium, vitamin D, and a controlled diet. Muscle tetany is also caused by the pathogenic bacterium Clostridium tetani in the disease tetanustetanus
or lockjaw,
acute infectious disease of the central nervous system caused by the toxins of Clostridium tetani. The organism has a widespread distribution and is common in the soil, human and animal feces, and the digestive tracts of animals and humans;
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.

Tetany

 

a spasm, or cramp, caused by a disturbance in the body’s calcium metabolism. Such spasms may be parathyroprival—that is, they may result from insufficiency or complete absence of function of the parathyroid glands (either because of surgical removal or because of an inflammation or other pathological condition)—or may be caused by fluid loss owing to repeated vomiting or diarrhea (also called gastrointestinal tetany).

The principal manifestations of tetany are tonic muscular spasms of varying duration in different parts of the body, increased electromechanical excitability of the motor and sensory nerves, and increased excitability of the autonomic nervous system leading to the malfunction of internal organs. During an attack of tetany, sudden death may occur from asphyxia or heart failure. In latent tetany, an attack may be provoked by some factor such as infection or intoxication. Treatment of tetany is based on replacement therapy—that is, the injection of such substances as parathyroid hormone or calcium preparations.

REFERENCE

Shereshevskii, N. A. Klinicheskaia endokrinologiia. Moscow, 1957. Pages 116–31.

tetany

[′tet·ən·ē]
(medicine)
A state of increased neuromuscular irritability caused by a decrease of serum calcium, manifested by intermittent numbness and cramps or twitchings of the extremities, laryngospasm, bizarre behavior, loss of consciousness, and convulsions.
References in periodicals archive ?
Both MVC torque and electrically evoked tetanic torques of the dominant leg KE muscles decreased significantly after each of the nine training sessions (p < 0.001; Figure 2).
We found that although eugenol depresses baseline synaptic transmission, it has no effect on the induction of LTP produced by tetanic stimulation of stratum radiatum.
After stability of the recording had been obtained [recording for at least 30 min after mounting and a population field excitatory postsynaptic potential (fEPSP) of constant amplitude], we recorded control responses and applied tetanic stimuli consisting of two separate 1-sec stimulations, each at the test intensity at 100 Hz with the two stimulations separated by 5 sec.
In both age groups, the BIS values at LOC dropped down from awake status ( P = 0.000), and increased after tetanic stimuli over that at LOC ( P = 0.000).
Peak tetanic force of young mice did not differ between sexes, but was lower than in the adult females (p < 0.01).
Maximum fused tetanic tension in isolated soleus muscle of the diabetic group was similar to the control group.
Reversal with sustained tetanic response was complete in another two minutes.
Field excitatory postsynaptic potential fEPSP slope changes after tetanic stimulation were calculated with respect to baseline.
Wa, "[O.sub.2.sup.-] production at 37[degrees]C plays a critical role in depressing tetanic force of isolated rat and mouse skeletal muscle," American Journal of Physiology-Cell Physiology, vol.
[sup][3] As a result, for women with previous cesarean section who undergo induced labor in the second-trimester, examinations of the LUS thickness and cervical motion tenderness are very important, as well as close monitoring during labor as it can detect tetanic contractions so to prevent severe complications, such as uterine rupture and hemorrhagic shock.
<15 Hz), respectively inducing tetanic and non-tetanic contractions, can be used for training.