Hyperparathyroidism in the elderly

Serial assessment of serum calcium correlates with mental state

“…Other reports suggest that this putative correlation is not absolute, although confirming the trend (Agras and Oliveau, 1964;Mannix et al, 1980). In elderly patients the relative frequency of minor mental abnormalities has been commented on by Fiatarone et al (1981), Mannix et al (1980), Heath er al.…”

“…In elderly patients the relative frequency of minor mental abnormalities has been commented on by Fiatarone et al (1981), Mannix et al (1980), Heath er al. (1980b with major psychiatric illness occurring in a small proportion of patients.…”

Primary Hyperparathyroidism and Delirium in The Elderly

“…Neprolithiasis, nephrocalcinosis, hypercalcuria, and diminished renal function may all occur. Over the years there appears to have been a decrease in the finding of kidney disease in hyperparathyroidism 9–13 . However, Fiatarone et al 3 found that while only 5% of their elderly subjects with hyperparathyroidism had a chief complaint of renal problems, 50% had symptoms of renal disease when directly questioned.…”

“…Surgical therapy in the elderly frequently reverses the mental status changes observed. Most of the studies depict complete recovery in over half the cases, but a range of improvement from 30% to 100% is present in the literature 3,9–19 . Most psychiatric symptoms improve within days to weeks after surgery, but it may take a few months 14, 20 .…”

Reversible Intellectual Impairment: An Internist's Perspective

“…Emotional disorders occur in 20 per cent of these patients, although dementia is not described precisely. Surgical therapy is described in small groups of patients in whom improved mental functioning is claimed, but not quantified, even in patients with marginally elevated calcium levels 17,18 …”