[症例報告]Hypercalcemic crisis associated with primary hyperparathyroidism after aortic surgery in an octogenarian : A Case Report
スポンサーリンク
概要
- 論文の詳細を見る
We report a rare case of hypercalcemic crisis associated with primary hyperparathyroidism after aortic surgery in an octogenarian. An 86-year-old woman with mild liver dysfunction had a successful abdominal aortic aneurysmectomy and Y grafting. Seventeen days after surgery, she suddenly suffered an unexpected hypercalcemic crisis and fell into stupor with flaccid paraplegia. Diagnosis of hyperparathyroidism was made by measurement of serum calcium (14.5mg/100ml) and intact-parathyroid hormone (64 pg/ml). Ultrasonographic examination revealed a 7 mm mass at 1 cm caudal to the left lower pole of the thyroid gland. After medical treatment followed by removal of the mass, the serum calcium returned to normal levels. Her consciousness and activity returned to preoperative state. The resected mass was histologically diagnosed as hyperplasia of the parathyroid gland. Hyperparathyroidism must be ruled out by careful clinical assessment before attributing mental impairment in the elderly to primary senile dementia. The measurement of serum calcium and intact parathyroid hormone levels is important in elderly patients with cognitive impairment who undergo surgery.
- 琉球医学会,Ryukyu Medical Associationの論文