Reddy S T, Merrick R D
Department of Internal Medicine, James H. Quillen College of Medicine, Johnson City, TN 37614, USA.
Tenn Med. 1999 Sep;92(9):341-2.
Though hypocalcemic symptoms from hypoparathyroidism following thyroidectomy most often occur in the immediate postoperative period, hypoparathyroidism can present itself many years after the thyroid surgery with nonspecific symptoms. We present herein the case of a 74-year-old woman with previously undiagnosed hypoparathyroidism who had tonic-clonic seizures and intracranial calcification 61 years after her thyroidectomy. This case is unusual because of the long latency between thyroidectomy and clinical presentation.
虽然甲状腺切除术后甲状旁腺功能减退引起的低钙血症症状最常出现在术后即刻，但甲状旁腺功能减退可在甲状腺手术后数年出现非特异性症状。我们在此报告一例74岁女性病例，她既往未被诊断出甲状旁腺功能减退，在甲状腺切除术后61年出现强直阵挛性发作和颅内钙化。该病例不同寻常，因为甲状腺切除术与临床表现之间的潜伏期很长。
