Ischemic stroke as the presenting symptom of primary hyperparathyroidism due to multiple endocrine neoplasia type 1.
We report a 14-year-old boy whose initial presentation of primary hyperparathyroidism was ischemic stroke in the absence of hypertension. We propose measurement of serum calcium and parathyroid hormone in all children with stroke symptoms or unexplained cranial infarcts.
Division of Pediatric Endocrinology and Metabolism, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Naim
N
Mitre
Kenneth
K
Mack
Dusica
D
Babovic-Vuksanovic
Geoffrey
G
Thompson
Seema
S
Kumar
D000293:Adolescent; D002544:Cerebral Infarction / Q000175:diagnosis; D004730:Endothelium, Vascular / Q000503:physiopathology; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D018761:Multiple Endocrine Neoplasia Type 1 / Q000150:complications*; D016105:Parathyroidectomy; D020521:Stroke / Q000209:etiology*