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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 0028-3886
Vol. 57, No. 3, 2009, pp. 340-343
Bioline Code: ni09098
Full paper language: English
Document type: Case Report
Document available free of charge

Neurology India, Vol. 57, No. 3, 2009, pp. 340-343

 en Intrathyroidal parathyroid adenoma presenting with neuromuscular manifestation
Zhu, Xiaodong; Zhai, Hui; Tang, Shao Fang & Cheng, Yan


Primary hyperparathyroidism (PHPT) is not an uncommon endocrine disorder. We describe a patient with PHPT who presented with progressive proximal limbs weakness and dystrophic changes of leg muscles. Serum calcium, alkaline phosphatase, and parathyroid hormone were elevated and serum phosphorus was low. Neck computerized tomography scan showed a parenchymatous tumor in the right lobe of the thyroid. The tumor presented as a ′cold nodule′ in the dual-phase single-agent Tc-99m MIBI scan. The right lobectomy examination confirmed the diagnosis of an intrathyroidal parathyroid adenoma of the right gland.

Parathyroid adenoma, primary hyperparathyroidism, Tc-99m MIBI, thyroid, weakness

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