 |
|
Extensive Intracranial Bilateral Symmetrical Calcification Secondary to Hypoparathyroidism
Arch Neurol. 2004;61:281.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
A 77-year-old woman with a history of dementia, hypothyroidism secondary to thyroidectomy, and seizure disorder for 20 years was brought in by her family for tonic-clonic seizures and loss of consciousness. Her medications included phenytoin and levothyroxine. She had no history of cocaine abuse or alcohol dependency. Her vital signs were stable, and a physical examination revealed slightly pale conjunctivae, a neck scar, and mild epigastric tenderness. She was oriented only to herself. The rest of the neurologic examination findings were unremarkable. Blood tests showed a calcium level of 5.1 mg/dL (1.27 mmol/L), a phosphate level of 5.7 mg/dL, a serum albumin level of 4.1 mg/dL, and a serum parathyroid hormone level of less than 1.0 pg/mL (<0.12 pmol/L) (reference range, 10-65 pg/mL [1.1-6.3 pmol/L]). The serum free thyroxine level was normal. Noncontrast computed tomography of the head showed extensive bilateral symmetrical calcification, more impressive in the cerebellum, basal ganglia, . . . [Full Text of this Article]
Fadi I. Jabr, MD
New York Medical College
1918 First Ave
New York, NY 10029
Hussien M. Matari, MD;
Avril-Linda Prempeh, MD
New York City
|
