Abstract
Psychiatric manifestations of primary hyperparathyroidism are mediated by hypercalcemia. To date, most evidence indicates that hypercalcemia and increased cerebrospinal-fluid calcium levels produce depression symptoms. Presented here is a case report of a 52-year-old woman in a manic state. She had no psychiatric history but had substantially elevated parathyroid hormone levels and hypercalcemia. On the basis of emerging evidence that calcium channel-blockers effectively treat mania, the authors propose that elevated calcium levels may act through multiple mechanisms or on various regions of the brain to produce a spectrum of psychiatric symptoms that should now include mania as a possibility.
MeSH terms
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Abdominal Pain / complications
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Adenoma / complications
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Adenoma / diagnosis*
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Anemia, Iron-Deficiency / complications
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Anemia, Iron-Deficiency / therapy
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Antipsychotic Agents / administration & dosage
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Aripiprazole
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Benzodiazepines / administration & dosage
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Bipolar Disorder / complications*
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Bipolar Disorder / diagnosis
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Bipolar Disorder / psychology
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Blood Transfusion
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Calcium / blood
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Diagnosis, Differential
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Female
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Hematocrit / methods
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Hemoglobins
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Humans
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Hypercalcemia / complications
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Hypercalcemia / psychology
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Hyperparathyroidism / complications*
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Hyperparathyroidism / psychology
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Middle Aged
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Nausea / complications
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Olanzapine
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Parathyroid Hormone / analysis
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Parathyroid Neoplasms / complications
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Parathyroid Neoplasms / diagnosis*
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Piperazines / administration & dosage
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Psychomotor Agitation / complications
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Psychomotor Agitation / psychology
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Quinolones / administration & dosage
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Stomach Ulcer / complications
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Weight Loss
Substances
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Antipsychotic Agents
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Hemoglobins
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Parathyroid Hormone
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Piperazines
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Quinolones
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Benzodiazepines
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Aripiprazole
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Olanzapine
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Calcium