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Multiple intracranial calcifications and spinal compressions: Rare complications of type la pseudohypoparathyroidism

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Abstract

Type Ia pseudohypoparathyroidism (PHP Ia) is an unusual inherited disease. PHP Ia often causes extraskeletal calcifications and even soft tissue ossifications. Patients may present neurologic symptoms and signs related to hypocalcemia and hyperphosphatemia. We report here a 38-yr-old woman with PHP Ia who had two uncommon neurologic complications. One was involuntary movements related to basal ganglia calcification, and the other was myelopathy owing to ossifications of the posterior longitudinal ligament and multiple herniated intervertebral disks. Aggressive body weight control and corrections of hypocalcemia, hyperphosphatemia, and elevated PTH may be important to prevent these unusual neurologic complications. Regular and careful neurologic examinations should be performed for early diagnosis and treatments of these spinal lesions.

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Authors and Affiliations

  1. Department of Internal Medicine, Far Eastern Memorial Hospital, Taiwan

    H. Chen

  2. Far Eastern Polyclinic, Chang Gung Memorial Hospital, Taiwan

    D. Su

  3. Division of Endocrine and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Taiwan

    F. Tseng & K. Tsai MD, PhD

  4. Second Division, Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Taiwan

    H. Chen

  5. Department of Laboratory Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, 7 Chung-Shan South Road, Taipei, Taiwan

    K. Tsai MD, PhD

Authors
  1. H. Chen
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  2. F. Tseng
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  3. D. Su
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  4. H. Chen
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  5. K. Tsai MD, PhD
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Corresponding author

Correspondence to K. Tsai MD, PhD.

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Chen, H., Tseng, F., Su, D. et al. Multiple intracranial calcifications and spinal compressions: Rare complications of type la pseudohypoparathyroidism. J Endocrinol Invest 28, 646–650 (2005). https://doi.org/10.1007/BF03347265

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  • DOI: https://doi.org/10.1007/BF03347265

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