Patients with hypoparathyroidism develop radiologic opacities in the basal ganglia and other parts of the brain (1, 2). The condition is believed to be relatively rare in surgical hypoparathyroidism (3–5), presumably because patients with this disorder are treated more expeditiously than are patients with other forms of hypoparathyroidism. We have recently used computerized tomography to demonstrate intracerebral calcification in four patients with surgical hypoparathyroidism whose skull roentgenograms showed no abnormality.
Patient 1 is a housewife who developed tetany after thyroidectomy at age 34 years and was given calcium intravenously in the immediate postoperative period. No further bouts of tetany occurred,