TRANSIENT ISCHEMIC ATTACKS IN PRIMARY HYPERPARATHYROIDISM

In a normotensive 67 year old female patient, transient ischemic attacks occurred in the context of a primary hyperparathyroidism, probably owing to calcium-induced cerebrovascular spasms. Since nimodipine therapy brought about freedom from attacks, prophylactic therapy with calcium antagonists in primary hyperparathyroidism should be considered preoperatively.