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Related Experiment Videos

Hypoparathyroidism with extensive intracranial calcification: a case report

A Goel1, M K Bhatnagar, A Vashishta

  • 1Department of Medicine, Lady Hardinge Medical College, New Delhi, India.

Postgraduate Medical Journal
|December 1, 1994
PubMed
Summary

This study details a hypoparathyroidism case with widespread intracranial calcification. It highlights hemiballismus as a newly observed symptom, alongside epilepsy and choreoathetosis.

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Area of Science:

  • Neurology
  • Endocrinology
  • Radiology

Background:

  • Hypoparathyroidism is a rare endocrine disorder characterized by insufficient parathyroid hormone production.
  • Intracranial calcification is a known complication, typically affecting the basal ganglia.
  • Extrapyramidal dysfunction can occur but is less commonly described.

Observation:

  • A patient with hypoparathyroidism presented with extensive intracranial calcification.
  • Calcification extended beyond the basal ganglia to other brain regions.
  • The patient exhibited an unexplained epileptic disorder and extrapyramidal symptoms, including choreoathetosis and hemiballismus.

Findings:

  • Extensive intracranial calcification in hypoparathyroidism, beyond the basal ganglia.
  • Co-occurrence of epilepsy, choreoathetosis, and hemiballismus in this patient.

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  • Hemiballismus is reported for the first time in association with hypoparathyroidism.
  • Implications:

    • This case expands the understanding of intracranial calcification patterns in hypoparathyroidism.
    • It suggests hemiballismus may be a previously unrecognized neurological manifestation of hypoparathyroidism.
    • Highlights the need for comprehensive neurological assessment in hypoparathyroidism patients.