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Rapid correction by 1-α-hydroxycholecalciferol of hemichorea in surgical hypoparathyroidism
  1. Ibrahim Salti,
  2. Amin Faris,
  3. Nizar Tannir,
  4. Khalil Khouri
  1. Division of Endocrinology, Department of Internal Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
  2. Division of Neurology, Department of Internal Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon

    Abstract

    A 45-year-old woman with long standing surgical hypoparathyroidism presented with right hemichorea of three months' duration. She had profound hypocalcaemia and hyperphosphataemia and extensive cerebral, cerebellar and basal ganglia calcification. Correction of the chemical abnormalities with 1α-hydroxycholecalciferol, calcium supplements and aluminium hydroxide resulted within 10 weeks in complete disappearance of the abnormal movements.

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