Heyman S N, Michaeli J, Brezis M, Gozlan L, Lernau O
Am J Med Sci. 1986 Feb;291(2):112-4. doi: 10.1097/00000441-198602000-00006.
Quadriplegia as a presenting syndrome in a case of primary hyperparathyroidism is reported. The clinical picture was misdiagnosed as a space-occupying lesion in the cervical spinal canal, for which an unnecessary laminectomy was performed. The neurologic deficits disappeared following the removal of a parathyroid adenoma. The neurologic presentations of hyperparathyroidism are reviewed and discussed.
本文报告了一例以四肢瘫为首发症状的原发性甲状旁腺功能亢进症。临床表现被误诊为颈椎管内占位性病变,为此进行了不必要的椎板切除术。切除甲状旁腺腺瘤后神经功能缺损消失。对甲状旁腺功能亢进症的神经学表现进行了回顾和讨论。