A Case of Parathyroid Apoplexy of Primary Hyperparathyroidism Presenting as Auditory Hallucinations Accompanied with Hypocalcemia
Endocrinology and Metabolism
; : 163-168, 2012.
Article
em En
| WPRIM
| ID: wpr-11721
Biblioteca responsável:
WPRO
ABSTRACT
The natural history of primary hyperparathyroidism, due to parathyroid adenoma, is unknown. Furthermore, spontaneous resolution of parathyroid necrosis or hemorrhage is rare and usually asymptomatic. Here, we report a case of parathyroid apoplexy of primary hyperparathyroidism, presenting as auditory hallucinations, accompanied with hypocalcemia. A 39-year-old man who was incidentally diagnosed with primary hyperparathyroidism, and waiting surgery for parathyroidectomy presented to psychiatric service with auditory hallucinations. He developed tetany, while taking psychiatric drugs. On a follow-up investigation, his serum calcium level fell from 11.8 to 5.8 mg/dL. His intact parathyroid hormone level also decreased from 1,017 pg/mL to 71.1 pg/mL. The parathyroid apoplexy was confirmed after a surgical removal of the infarcted adenoma. The auditory hallucinations disappeared, and serum calcium level was returned to within the normal range.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Hormônio Paratireóideo
/
Neoplasias das Paratireoides
/
Valores de Referência
/
Tetania
/
Adenoma
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Cálcio
/
Seguimentos
/
Paratireoidectomia
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História Natural
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Acidente Vascular Cerebral
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Endocrinology and Metabolism
Ano de publicação:
2012
Tipo de documento:
Article