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J Korean Soc Emerg Med > Volume 16(3); 2005 > Article
Journal of The Korean Society of Emergency Medicine 2005;16(3): 383-386.
Idiopathic Hypoparathyroidism Combined with Extensive Intracranial Calcification: A Case Report
Seong Gwan Lim, Dong Phil Kim, Hoon Pyo Hong, Myung Chun Kim, Young Gwan Ko
1Department of Emergency Medicine, College of Medicine, KyungHee University, Seoul, Korea. edkmc@chol.com
2Department of Emergency Medicine, Dongsuwon Hospital, Suwon, Korea.
ABSTRACT
Intracranial calcification is known to be a physiologic phenomenon and is often seen in brain CTs of patients visiting the emergency department. The pattern of a calcified lesion may be related to the pathologic condition, and calcified lesion itself may cause neurologic symptoms. The causes of pathologic intracranial calcification are infection, brain tumor, vascular disorder, endocrinologic disorders, and genetic disorder associated with calcium metabolic defects. The most common sites of intracranial calcification are the basal ganglia, subcortical tissue of the cerebrum, the thalamus, the choroid plexus, and the dentate nucleus of the cerebellum. The diagnosis of pathologic calcification can be done by using brain CT or MRI, and pathologic calcification should be differentiated from other causes of calcification by using laboratory data. We report and discuss a case of extensive intracranial calcification with idiopathic hypoparathyroidism.
Key words: Intracranial, Calcification, Computed tomography, Hypoparathyroidism
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