Ten-year follow-up report and neurologic sequelae in a case of neonatal severe primary hyperparathyroidism

Nahid Khosroshahi1, Zahra Haghshenas2, Arya Afrooghe3

  • 1Department of Pediatric Neurology, Bahrami Children's Hospital Tehran University of Medical Sciences Tehran Iran.

Clinical Case Reports
|July 26, 2023
PubMed

Insights

This study details a 10-year management of neonatal severe primary hyperparathyroidism (NSHPT) in Iran. Long-term outcomes include microcephaly, intellectual disability, and epilepsy, potentially linked to hypoxic-ischemic events.

Area of Science:

  • Pediatric Endocrinology
  • Neonatal Medicine
  • Neurology

Background:

  • Neonatal severe primary hyperparathyroidism (NSHPT) is a rare, life-threatening condition.
  • Early diagnosis and management are crucial for long-term patient outcomes.
  • This report documents the first NSHPT case managed in Iran.

Observation:

  • A 10-year follow-up of a patient with NSHPT is presented.
  • Clinical manifestations included microcephaly, mental retardation, and epilepsy.
  • Brain MRI revealed findings consistent with a past hypoxic-ischemic event.

Findings:

  • Effective long-term management strategies for NSHPT were employed.
  • The study highlights potential neurological sequelae of NSHPT.
  • Correlation between NSHPT and hypoxic-ischemic brain injury is suggested.

Implications:

  • This case provides valuable insights into the long-term prognosis of NSHPT.
  • It underscores the importance of multidisciplinary care for affected neonates.
  • Findings contribute to understanding the neurological impact of severe hyperparathyroidism in infancy.