Hypoparathyroidism and pseudotumor cerebri: an infrequent clinical association.
We report a patient with chronic, untreated idiopathic hypoparathyroidism who presented with papilledema and progressive deterioration of visual function. The papilledema resolved with treatment of the hypocalcemia. Visual acuity progressively improved as the serum calcium rose during treatment with vitamin D and calcium supplements. Lumbar puncture may also have contributed to the normalization of cerebrospinal fluid pressure and recovery of vision in this patient. The association of hypoparathyroidism and pseudotumor cerebri is rare, and a retrospective review of 41 patients with hypoparathyroidism admitted to two local general hospitals revealed no other cases.
Department of Medicine and Clinical Neurosciences, University of Calgary, Alberta, Canada.
R S
RS
Sheldon
W J
WJ
Becker
D A
DA
Hanley
R L
RL
Culver
D000328:Adult; D002117:Calcitriol / Q000627:therapeutic use; D002118:Calcium / Q000627:therapeutic use; D005451:Fluorescein Angiography; D006801:Humans; D007011:Hypoparathyroidism / Q000150:complications* / Q000188:drug therapy; D007427:Intracranial Pressure / Q000187:drug effects; D008297:Male; D010211:Papilledema / Q000209:etiology; D011559:Pseudotumor Cerebri / Q000209:etiology*; D014792:Visual Acuity / Q000187:drug effects
D002117:Calcitriol; D002118:Calcium