帕金森综合征作为原发性甲状旁腺功能亢进的首发症状：手术后症状改善。
Parkinsonism as presenting symptom of primary hyperparathyroidism: Improvement after surgery.
作者信息
Luján-Martínez Delia, Sánchez-Cifuentes Ángela, Peña-Ros Emilio, Albarracín-Marín-Blázquez Antonio, Candel-Arenas Mari Fe
机构信息
Department of General and Digestive System Surgery, Hospital General Universitario Reina Sofía, Murcia, Spain.
出版信息
Cir Cir. 2019;86(1):96-98. doi: 10.24875/CIRUE.M18000015.
INTRODUCTION
Hypercalcemia can cause different neurological disorders, depending on the calcium level. We report an exceptional case of primary hyperparathyroidism presenting as neurological alteration and it has favourable outcome after parathyroidectomy.
CASE REPORT
A 74-year-old woman presented with progressive cognitive deterioration and impaired motor function. The complementary tests showed hypercalcemia due to a parathyroid adenoma. Parathyroidectomy was performed with symptomatic improvement.
CONCLUSION
Cognitive impairment of the elderly due to a parathyroid adenoma is underdiagnosed, behavioral changes and alterations of motor functions are attributed to age, dementia and frailty, representing a diagnostic challenge.
引言
高钙血症可导致不同的神经功能障碍，具体取决于钙水平。我们报告一例原发性甲状旁腺功能亢进症表现为神经功能改变的特殊病例，甲状旁腺切除术后预后良好。
病例报告
一名74岁女性出现进行性认知功能减退和运动功能受损。辅助检查显示甲状旁腺腺瘤导致高钙血症。行甲状旁腺切除术后症状改善。
结论
甲状旁腺腺瘤导致的老年人认知障碍诊断不足，行为改变和运动功能改变常归因于年龄、痴呆和虚弱，这是一个诊断挑战。
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