Endocrine Abstracts

Dementia describes a set of symptoms such as memory loss, difficulties with thinking, problem solving or language. Vascular dementia is a second most common type of dementia, rare under 65 year old. I report a case of 57- year-old woman with diagnosed dementia vascularis in Neurology department. Beside neurological diagnostic methods(brain scan-CT, MRI, Color Doppler of carotids, she had hypercalcaemia (2.96–3.04 mmol/l; normal range 2.20–2.60) as high calciuresis/24-hour (concentration 6.98 mmol/l). Her parathyroid hormone is elevated (hyperparathyroidism) due to adenoma of right inferior parathyroid gland (PTH is 95 pg/ml). Because of progression on patient’s physiological and clinical state, immobility, difficulty to communicate and feeding with nasogastric tube, an operation of adenoma of parathyroid gland was not an option. She ended with stones in her left urether and postsurgery complications.

Keywords: dementia vascular; adenoma of parathyroid gland; hypercalcemia; hyperparathyroidism; parathyroid hormone.