Solís PRJ, Baas API, Franco NA, Segura RPG, Leal MD

Language: Spanish
References: 3
Page: 335-337
PDF size: 191.47 Kb.

ABSTRACT

Primary hyperparathyroidism is a hypercalcemic disorder that involves excessive activity of the parathyroid glands. Hypercalcemic crises are rare complications that can result from altered alertness. 83-year-old woman independent for basic activities, mild dependence on instrumented activities, cognitive impairment of 2 months of evolution, chronic pain. He came due to a stupor and sudden generalized tonic-clonic seizures. Initial laboratory tests revealed elevated serum calcium levels. A parathyroid mammogram was performed, and a left parathyroid adenoma was found. Presents a decrease in calcium levels and improvement in neurological status with the implementation of medical management.

REFERENCES

1. Jaisinghani P, Sharma A, Wang X. Primary hyperparathyroidism in the geriatric population: a case report and mini literature review. Clin Case Rep. 2022; 10 (11): e6313.

2. Agrawal L, Habib Z, Emanuele NV. Neurologic disorders of mineral metabolism and parathyroid disease. Handb Clin Neurol. 2014; 737-748.

3. Ahmad S, Kuraganti G, Steenkamp D. Hypercalcemic crisis: a clinical review. Am J Med. 2015; 128 (3): 239-245.