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由甲状旁腺功能亢进或其它病所致的高血钙症是精神神经性素乱,包括痴呆的一个已知的原因。但人们常认为正常血钙性甲状腺功能亢进不是认识障碍的一个原因;此外,还认为任何原因所引起的痴呆,如果持续数年是不可逆性的。作者报告1例正常血钙性甲状旁腺功能亢进所致的长期痴呆,经治疗后恢复正常。病例女,77岁,因进行性“老年性痴呆”入院,3年前精神和智能正常。以后发现其智能逐渐下降,有遗忘症,不能流利地讲外语。曾行“螯合洽疗”,每次治疗后立即出现震颤和精神混浊。神经科检查定向力好,但认识功能差,远近记忆均障碍,抓
Hypercalcaemia, which is caused by hyperparathyroidism or other diseases, is a known cause of neurotic disorders, including dementia. However, it is often thought that normal hypercalcemic hyperparathyroidism is not a cause of cognitive impairment; in addition, it is also considered that any cause of dementia is irreversible for several years. The authors report a case of long-term dementia due to normal hypercalcaemic hyperparathyroidism that returned to normal after treatment. Female, 77 years old, admitted to hospital for progressive Alzheimer’s disease, mentally and intellectually normal three years ago. Later found that its intelligence gradually decreased, there is amnesia, can not speak foreign languages fluently. Had “Chelation Contact Treatment”, tremor and mental opacity immediately after each treatment. Neurology check orientation is good, but poor cognitive function, near and far memory are obstacles, grasping