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.
Highlights
Intracranial calcification that affects structures other than the basal ganglia and the cerebellum is a rare manifestation of postoperative hypoparathyroidism
The incidence of hypoparathyroidism following total thyroidectomy is reported in several series between 0.3% and 6.3% for permanent hypoparathyroidism and between 5% and 22% for transient hypoparathyroidism [1]
We present a case of long-standing iatrogenic hypoparathyroidism with bilateral extensive intracranial calcifications and only mild clinical symptoms
Summary
Intracranial calcification that affects structures other than the basal ganglia and the cerebellum is a rare manifestation of postoperative hypoparathyroidism. We present a case of long-standing iatrogenic hypoparathyroidism with bilateral extensive intracranial calcifications and only mild clinical symptoms
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