Open AccessDiffuse Calcinosis from Total Thyroidectomy and Secondary Hypocalcaemia
Author(s) -
Filipa Leal,
Luís Nogueira,
Teresa Mendes,
Ana Silva Rocha,
Dinis Sarmento,
F. Pombo,
Bárbara Silva
Publication year - 2021
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2021_002489
Subject(s) - hypocalcaemia , hypoparathyroidism , medicine , thyroidectomy , asymptomatic , calcification , calcinosis , surgery , complication , incidence (geometry) , radiology , thyroid , calcium , physics , optics
Hypoparathyroidism is a rare endocrine disorder and its main cause is cervical surgery such as thyroidectomy. The incidence of hypoparathyroidism after total thyroidectomy varies, and is reported to be between 0.3 and 6.3%. In terms of brain imaging, hypoparathyroidism can cause calcification mainly of the basal ganglia, with other areas rarely affected. Concerning extracerebral calcification, few studies have investigated the prevalence of visceral calcifications. We describe a case of a woman with secondary hypocalcaemia who presented with a transient ischaemic attack (TIA) and the investigation revealed an extensive calcinosis of the brain and the vascular structures responsible for the event.