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Cognitive impairment in primary hyperparathyroidism

https://doi.org/10.14412/2074-2711-2019-1-103-108

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Abstract

Cognitive impairment (CI) is a nonclassical manifestation of primary hyperparathyroidism associated with impaired calcium and phosphorus metabolism. The pathophysiological mechanisms of cognitive dysfunction in this endocrine disease have not been fully elucidated. Nonetheless, studies have demonstrated neuropsychological improvements and better quality of life in patients who have achieved normocalcemia with reduced parathyroid hormone levels after surgical treatment for hyperparathyroidism. Further large-scale controlled studies are needed to determine the possibility of using neuropsychiatric complications as indications for parathyroidectomy.

About the Authors

N. G. Mokrysheva
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

11, Dm. Ulyanov St., Moscow 117036



Yu. A. Krupinova
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

11, Dm. Ulyanov St., Moscow 117036



E. E. Bibik
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

Ekaterina Evgenyevna Bibik

11, Dm. Ulyanov St., Moscow 117036



G. A. Melnichenko
National Medical Research Center for Endocrinology, Ministry of Health of Russia
Russian Federation

11, Dm. Ulyanov St., Moscow 117036



References

1. Mokrysheva NG. Primary hyperparathyroidism. Epidemiology, clinic, modern principles of diagnosis and treatment. Dis. doсt. med. sci. Moscow; 2011.

2. Repplinger D, Schaefer S, Chen H, Sippel RS. Neurocognitive dysfunction: a predictor of parathyroid hyperplasia. Surgery. 2009 Dec; 146(6):1138-43. doi:10.1016/j.surg.2009.09.009.

3. Grant P, Velusamy A. What is the best way of assessing neurocognitive dysfunction in patients with primary hyperparathyroidism? J Clin Endocrinol Metab. 2014 Jan;99(1):49-55. doi: 10.1210/jc.2013-3115. Epub 2013 Dec 20.

4. Roman SA, Sosa JA, Mayes L, et al. Parathyroidectomy improves neurocognitive deficits in patients with primary hyperparathyroidism. Surgery. 2005 Dec;138(6):1121-8; discussion 1128-1129.

5. Joborn C, Hetta J, Niklasson F, et al. Cerebrospinal fluid calcium, parathyroid hormone, and monoamine and purine metabolites and the blood-brain barrier function in primary hyperparathyroidism. Psychoneuroendocrinology. 1991;16(4):311-22.

6. Schram MT, Trompet S, Kamper AM, et al. Serum calcium and cognitive function in old age. J Am Geriatr Soc. 2007 Nov;55(11): 1786-92.

7. Maggio D, Ruggiero C. Hyperparathyroidism in the elderly: shifting the focus from bone to brain. Aging Clin Exp Res. 2011 Dec;23(5-6): 326-7.

8. Benge JF, Perrier ND, Massman PJ, et al. Cognitive and affective sequelae of primary hyperparathyroidism and early response to parathyroidectomy. J Int Neuropsychol Soc JINS. 2009 Nov;15(6):1002-11.

9. Perrier ND, Coker LH, Rorie KD, et al. Preliminary report: functional MRI of the brain may be the ideal tool for evaluating neuropsychologic and sleep complaints of patients with primary hyperparathyroidism. World J Surg. 2006 May;30(5):686-96.

10. Mjaland O, Normann E, Halvorsen E, et al. Regional cerebral blood flow in patients with primary hyperparathyroidism before and after successful parathyroidectomy. Br J Surg. 2003 Jun;90(6):732-7.

11. Coker LH, Rorie K, Cantley L, et al. Primary hyperparathyroidism, cognition, and health-related quality of life. Ann Surg. 2005 Nov;242(5):642-50.

12. Morris LF, Zelada J, Wu B, et al. Parathyroid surgery in the elderly. The oncologist. 2010;15(12):1273-84.

13. Weber T, Keller M, Hense I, et al. Effect of parathyroidectomy on quality of life and neuropsychological symptoms in primary hyperparathyroidism. World J Surg. 2007 Jun;31(6): 1202-9.

14. Lourida I, Thompson-Coon J, Dickens CM, et al. Parathyroid hormone, cognitive function and dementia: a systematic review. PLoS One. 2015 May 26;10(5): e0127574. doi: 10.1371/journal.pone.0127574. eCollection 2015.

15. Kahal H, Aye M, Rigby AS, et al. The effect of parathyroidectomy on neuropsychological symptoms and biochemical parameters in patients with asymptomatic primary hyperparathyroidism. Clin Endocrinol (Oxf). 2012 Feb;76(2):196-200. doi: 10.1111/j.1365-2265.2011.04197.x.

16. Belyaeva AV, Mokrysheva NG, Rozhinskaya LYa. Renal concentration function in primary hyperparathyroidism. Ozhirenie i metabolizm. 2009; 6(1):8–12. (In Russ.).

17. Numann PJ, Torppa AJ, Blumetti AE. Neuropsychologic deficits associated with primary hyperparathyroidism. Surgery. 1984 Dec; 96(6):1119-23.

18. Brown GG, Preisman RC, Kleerekoper M. Neurobehavioral symptoms in mild primary hyperparathyroidism: related to hypercalcemia but not improved by parathyroidectomy. Henry Ford Hosp Med J. 1987;35(4):211-5.

19. Babinska D, Barczynski M, Stefaniak T, et al. Evaluation of selected cognitive functions before and after surgery for primary hyperparathyroidism. Langenbecks Arch Surg. 2012 Jun;397(5):825-31. doi: 10.1007/s00423-011-0885-5. Epub 2011 Dec 8.

20. Cogan MG, Covey CM, Arieff AI, et al. Central nervous system manifestations of hyperparathyroidism. Am J Med. 1978 Dec;65(6): 963-70.

21. Goyal A, Chumber S, Tandon N, et al. Neuropsychiatric manifestations in patients of primary hyperparathyroidism and outcome following surgery. Indian J Med Sci. 2001 Dec; 55(12):677-86.

22. Prager G, Kalaschek A, Kaczirek K, et al. Parathyroidectomy improves concentration and retentiveness in patients with primary hyperparathyroidism. Surgery. 2002 Dec;132(6): 930-5; discussion 935-936.

23. Chiang CY, Andrewes DG, Anderson D, et al. A controlled, prospective study of neuropsychological outcomes post parathyroidectomy in primary hyperparathyroid patients. Clin Endocrinol (Oxf). 2005 Jan;62(1):99-104.

24. Dotzenrath CM, Kaetsch AK, Pfingsten H, et al. Neuropsychiatric and cognitive changes after surgery for primary hyperparathyroidism. World J Surg. 2006 May;30(5):680-5.

25. Mittendorf EA, Wefel JS, Meyers CA, et al. Improvement of sleep disturbance and neurocognitive function after parathyroidectomy in patients with primary hyperparathyroidism. Endocr Pract. 2007 Jul-Aug;13(4):338-44.

26. Casella C, Pata G, Di Betta E, Nascimbeni R. Neurological and psychiatric disorders in primary hyperparathyroidism: the role of parathyroidectomy. Ann Ital Chir. 2008 Jun;79(3):157-61; discussion 161-163.

27. Perrier ND, Balachandran D, Wefel JS, et al. Prospective, randomized, controlled trial of parathyroidectomy versus observation in patients with «asymptomatic» primary hyperparathyroidism. Surgery. 2009 Dec;146(6):1116-22.

28. Walker MD, McMahon DJ, Inabnet WB, et al. Neuropsychological features in primary hyperparathyroidism: a prospective study. J Clin Endocrinol Metab. 2009 Jun;94(6): 1951-8. doi: 10.1210/jc.2008-2574. Epub 2009 Mar 31.

29. Roman SA, Sosa JA, Pietrzak RH, et al. The effects of serum calcium and parathyroid hormone changes on psychological and cognitive function in patients undergoing parathyroidectomy for primary hyperparathyroidism. Ann Surg. 2011 Jan;253(1):131-7. doi: 10.1097/SLA.0b013e3181f66720.

30. Pasieka JL, Parsons LL. Prospective surgical outcome study of relief of symptoms following surgery in patients with primary hyperparathyroidism. World J Surg. 1998 Jun;22(6):513-8; discussion 518-519.

31. Pasieka JL, Parsons LL, Demeure MJ, et al. Patient-based surgical outcome tool demonstrating alleviation of symptoms following parathyroidectomy in patients with primary hyperparathyroidism. World J Surg. 2002 Aug; 26(8):942-9. Epub 2002 May 21.

32. Talpos GB, Bone HG 3rd, Kleerekoper M, et al. Randomized trial of parathyroidectomy in mild asymptomatic primary hyperparathyroidism: patient description and effects on the SF-36 health survey. Surgery. 2000 Dec;128(6): 1013-20; discussion 1020-1.

33. Quiros RM, Alef MJ, Wilhelm SM, et al. Health-related quality of life in hyperparathyroidism measurably improves after parathyroidectomy. Surgery. 2003 Oct;134(4):675-81; discussion 681-683.

34. Trombetti A, Christ ER, Henzen C, et al. Clinical presentation and management of patients with primary hyperparathyroidism of the Swiss Primary Hyperparathyroidism Cohort: a focus on neuro-behavioral and cognitive symptoms. J Endocrinol Invest. 2016 May; 39(5):567-76. doi: 10.1007/s40618-015-0423-3. Epub 2016 Jan 7.

35. Zanocco K, Butt Z, Kaltman D, et al. Improvement in patient-reported physical and mental health after parathyroidectomy for primary hyperparathyroidism. Surgery. 2015 Sep; 158(3):837-45.

36. Kebebew E, Duh QY, Clark OH. Parathyroidectomy for primary hyperparathyroidism in octogenarians and nonagenarians: a plea for early surgical referral. Arch Surg. 2003 Aug;138(8):867-71.

37. Rao DS, Phillips ER, Divine GW, Talpos GB. Randomized controlled clinical trial of surgery versus no surgery in patients with mild asymptomatic primary hyperparathyroidism. J Clin Endocrinol Metab. 2004 Nov; 89(11):5415-22.

38. Tung-Chen Y, Jerusalem K. Dementia due to primary hyperparathyroidism: A lesson learned from delayed diagnosis. Rev Esp Geriatr Gerontol. 2016 May-Jun;51(3):181-2. doi: 10.1016/j.regg.2015.07.011. Epub 2015 Sep 26.

39. Doherty DB, Mittendorf EA, Valentine AD, Perrier ND. An elderly woman with primary hyperparathyroidism exhibits improvement of neurocognitive dysfunction after parathyroidectomy. J Am Geriatr Soc. 2007 Oct;55(10): 1689-91.

40. Chiba Y, Satoh K, Ueda S, et al. Marked improvement of psychiatric symptoms after parathyroidectomy in elderly primary hyperparathyroidism. Endocr J. 2007 Jun;54(3): 379-83. Epub 2007 Apr 10.

41. Papageorgiou SG, Christou Y, Kontaxis T, Bonakis A, Anagnostouli M, Potagas C, et al. Dementia as presenting symptom of primary hyperparathyroidism: favourable outcome after surgery. Clin Neurol Neurosurg. 2008 Dec;110(10): 1038-40. doi: 10.1016/j.clineuro.2008.06.004. Epub 2008 Jul 26.


Review

For citations:


Mokrysheva N.G., Krupinova Yu.A., Bibik E.E., Melnichenko G.A. Cognitive impairment in primary hyperparathyroidism. Neurology, Neuropsychiatry, Psychosomatics. 2019;11(1):103-108. (In Russ.) https://doi.org/10.14412/2074-2711-2019-1-103-108

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)