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Rapidly Progressive Dementia as the First Symptom of Primary Hyperparathyroidism: A Case Report

Marlena Zajączkowska, Maria Filip, Elżbieta Skowrońska-Jóźwiak, Monika Talarowska

Med Sci Tech 2015; 56:60-65

DOI: 10.12659/MST.895049


BACKGROUND: Primary hyperparathyroidism (PTHP) may manifest as various neuropsychiatric symptoms, ranging from affective disorders, general apathy, anxiety, sleep disorders, personality changes and cognitive impairment, to severe psychotic conditions, coma, and even death.
CASE REPORT: Our case presents a 65-year-old patient who was admitted to a psychiatric hospital because of rapidly progressing dementia. In further diagnostic and therapeutic process we found that he had primary hyperparathyroidism, and he underwent successful parathyroidectomy. Treatment resulted in improvement of cognitive functions.
CONCLUSIONS: Hyperparathyroidism should be considered as a possible cause of neuropsychiatric symptoms in elderly people.

Keywords: Delirium, Dementia, Amnestic, Cognitive Disorders, Hypercalcemia, Hyperparathyroidism

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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