Berenbaum F, Rajzbaum G, Bonnichon P, Amor B
Service de Rhumatologie, Hôpital Cochin, Paris.
Rev Rhum Ed Fr. 1993 Jun;60(6):467-9.
An unusual clinical presentation of hyperparathyroidism is reported. The 73-year-old patient was unable to maintain her head upright after ten minutes of walking or standing. Parathyroid adenoma was diagnosed on the basis of ultrasound and pathological findings and parathyroid hormone assays. Following surgery the forward sagging of the head no longer occurred and serum levels of calcium and phosphorus returned to normal. Pathophysiological hypotheses are discussed. No similar cases with isolated weakness of the cervical and dorsal paravertebral muscles has been reported to date.
报告了一例甲状旁腺功能亢进的不寻常临床表现。这位73岁的患者在行走或站立十分钟后无法保持头部直立。根据超声、病理检查结果及甲状旁腺激素测定诊断为甲状旁腺腺瘤。手术后，头部不再前倾，血清钙和磷水平恢复正常。文中讨论了病理生理假说。迄今为止，尚未有孤立的颈背部椎旁肌无力的类似病例报道。
