Extensive Bilateral Intracranial Calcifications: A Case of Iatrogenic Hypoparathyroidism

Author:

Zisimopoulou Vaso1ORCID,Siatouni Anna2,Tsoukalos Grigorios3,Tavernarakis Antonios1,Gatzonis Stylianos2

Affiliation:

1. Department of Neurology, Evaggelismos Hospital, 45-47 Ipsilantou Street, 10676 Athens, Greece

2. Department of Neurosurgery, Athens Medical School, Evaggelismos Hospital, 45-47 Ipsilantou Street, 10676 Athens, Greece

3. Department of Radiology, Evaggelismos Hospital, 45-47 Ipsilantou Street, 10676 Athens, Greece

Abstract

This is a case of a 69-year-old male patient with long-standing iatrogenic hypoparathyroidism after total thyroidectomy. The clinical evaluation revealed mild neurological symptoms and excessive brain calcinosis. Intracranial calcification that affects structures other than the basal ganglia and the cerebellum is a rare manifestation of postoperative hypoparathyroidism. Detection of brain calcinosis in patients who had total thyroidectomy can motivate clinicians in further investigation of possible hypoparathyroidism with measurement of calcium and phosphorus serum levels.

Publisher

Hindawi Limited

Subject

General Medicine

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