2024-03-29T06:26:05Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02016134
2022-10-31T07:51:04Z
1642838163960:1642838198944:1642838199408:1642838217169
1642838403551:1642838412624
[症例報告]Hypercalcemic crisis associated with primary hyperparathyroidism after aortic surgery in an octogenarian : A Case Report
Sakuda, Hitoshi
Matsubara, Shinobu
Higa, Noboru
Nakaema, Moriyasu
Miyagi, Kazufumi
Kamada, Yoshihiko
Kuniyoshi, Yukio
Koja, Kageharu
Komiya, Ichiro
Iwamasa, Teruo
hyperparathyroidism
octogenarian
abdominal aortic aneurysm
hypercalcemia
senile dementia
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.
論文
http://purl.org/coar/resource_type/c_6501
琉球医学会
Ryukyu Medical Association
2002
VoR
1346888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
1
21
44
41
eng
open access
琉球医学会