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NEUROLOGY 1987;37:307
© 1987 American Academy of Neurology

Idiopathic hypoparathyroidism with extensive brain calcification and persistent neurologic dysfunction

Joseph H. Friedman, MD, MAJ Irene Chiucchini, MD and Joseph R. Tucci, MD

Divisions of Neurology (Dr. Friedman) and Endocrinology (Dr. Tucci), Department of Medicine, Roger Williams General Hospital, Brown University. Providence, RI; and the Division of Endocrinohgy (Dr. Chiucchini), Department of Medicine, William Beaumont Army Medical Center, El Paso, TX.

Idiopathic hypoparathyroidism is an uncommon cause of movement disorders. The following case illustrates the persistence of a parkinsonian gait 2 years after the restoration of normal serum calcium levels. The extensive calcifications in the brain presumably account for this as well as for the persistent mild dementia. The importance of identifying hypoparathyroidism early in the course is graphically illustrated.

Address correspondence and reprint requests to Dr. Friedman, Department of Medicine, Roger Williams General Hospital, 825 Chalkstone Avenue, Providence, RI 02908.

Received January 13, 1986. Accepted for publication, June 6, 1986.




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