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Prolonged Hypercalcemia-Induced Psychosis.
Lauren Nagy1, Pratheek Mangini1, Caitlin Schroen1
1Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Hypercalcemia can cause psychosis, but this case shows persistent symptoms even after parathyroid adenoma removal. This highlights potential long-term neurological effects of prolonged high calcium levels.
Area of Science:
- Neuroendocrinology
- Psychiatry
- Calcium Metabolism
Background:
- Hypercalcemia, often caused by parathyroid adenoma, is linked to neuropsychiatric dysfunction.
- High calcium levels may induce neuronal damage via excitotoxicity and neurotransmitter imbalance.
Observation:
- A patient with no prior psychiatric history developed prolonged delirium and psychosis post-parathyroid adenoma removal.
- Symptoms persisted for at least 8 months despite medical clearance and were unresponsive to psychotropic medications.
Findings:
- This case presents a rare instance of persistent psychosis following correction of hypercalcemia.
- Prolonged hypercalcemia exposure may lead to enduring neuropsychiatric sequelae.
Implications:
- Further research is needed to understand mechanisms of persistent psychosis after hypercalcemia.
- Consideration of prolonged neuropsychiatric monitoring in patients with severe or prolonged hypercalcemia is warranted.
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