நரம்பியல் கோளாறுகள்

A Patient with Extensive Meningeal Calcification due to Pseudohypoparathyroidism: A Case Report

Abstract

Mahmoud Hussien Salih Daoud, Abubakr Elmotesim Abdulla Elamin, Ahmed Fathelrahman Rizgalla Mohammed*, Ala Khalid, Abdallah Faisal Hassan and Arif Khalid Mohammed Taha

Background: This case emphasizes the adulthood onset of PHP with the association of new pattern of brain calcification which is exclusively falx cerebri and supratentorial.

Case presentation: A 35 year old man with 17 year history of epilepsy on Carbamazepine, referred from neurosurgical department where was diagnosed with hydrocephalus complicated by secondary severe optic atrophy and underwent Ventriculo-Peritoneal shunt. Imaging revealed Falx Cerebri, Supratentorial calcification, biochemical tests showed hypocalcemia, hypophosphatemia and elevated parathyroid hormone. Patient was given Vitamin D and Calcium in order to improve the outcome.

Conclusion: Although PHP being a rare possibility especially in adult, it has to be considered in incidental meningeal calcification and to be picked up early before complications.