A Case of Parathyroid Apoplexy of Primary Hyperparathyroidism Presenting as Auditory Hallucinations Accompanied with Hypocalcemia.
10.3803/EnM.2012.27.2.163
- Author:
Eon Ju JEON
1
;
Ji Yun JEONG
;
Jung Guk KIM
Author Information
1. Department of Internal Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea. jugkim@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Auditory hallucination;
Hypocalcemia;
Parathyroid apoplexy;
Primary hyperparathyroidism
- MeSH:
Adenoma;
Adult;
Calcium;
Follow-Up Studies;
Hallucinations;
Hemorrhage;
Humans;
Hyperparathyroidism, Primary;
Hypocalcemia;
Natural History;
Necrosis;
Parathyroid Hormone;
Parathyroid Neoplasms;
Parathyroidectomy;
Reference Values;
Stroke;
Tetany
- From:Endocrinology and Metabolism
2012;27(2):163-168
- CountryRepublic of Korea
- Language:English
-
Abstract:
The natural history of primary hyperparathyroidism, due to parathyroid adenoma, is unknown. Furthermore, spontaneous resolution of parathyroid necrosis or hemorrhage is rare and usually asymptomatic. Here, we report a case of parathyroid apoplexy of primary hyperparathyroidism, presenting as auditory hallucinations, accompanied with hypocalcemia. A 39-year-old man who was incidentally diagnosed with primary hyperparathyroidism, and waiting surgery for parathyroidectomy presented to psychiatric service with auditory hallucinations. He developed tetany, while taking psychiatric drugs. On a follow-up investigation, his serum calcium level fell from 11.8 to 5.8 mg/dL. His intact parathyroid hormone level also decreased from 1,017 pg/mL to 71.1 pg/mL. The parathyroid apoplexy was confirmed after a surgical removal of the infarcted adenoma. The auditory hallucinations disappeared, and serum calcium level was returned to within the normal range.
