Basal ganglia calcifications in postoperative hypoparathyroidism: a case with unusual characteristics.
A patient is described with post-thyroidectomy hypoparathyroidism and basal ganglia calcifications. The patient presented with a tonic-clonic seizure. The calcifications shown on CT scan were extensive in the basal ganglia, the bifrontal periventricular white matter and even in the brainstem. The white matter with calcifications displayed a high signal intensity on MRI, probably due to a different stage of the calcifying process in the white matter than in the basal ganglia. A severe dystonic reaction was observed after phenothiazine therapy and is discussed.
Jorens
P G
PG
Department of Internal Medicine, General Hospital, Middelheim, Antwerp, Belgium.
Appel
B J
BJ
Hilte
F A
FA
Mahler
C
C
De Deyn
P P
PP
D001479:Basal Ganglia / Q000473:pathology; D001480:Basal Ganglia Diseases / Q000097:blood / Q000175:diagnosis*; D001933:Brain Stem / Q000473:pathology; D002114:Calcinosis / Q000097:blood / Q000175:diagnosis*; D002118:Calcium / Q000097:blood; D004830:Epilepsy, Tonic-Clonic / Q000097:blood / Q000175:diagnosis; D006801:Humans; D007011:Hypoparathyroidism / Q000097:blood / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D010281:Parathyroid Hormone / Q000097:blood; D010710:Phosphates / Q000097:blood; D011183:Postoperative Complications / Q000097:blood / Q000175:diagnosis*; D013965:Thyroidectomy; D014057:Tomography, X-Ray Computed
D010281:Parathyroid Hormone; D010710:Phosphates; D002118:Calcium