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首页> 外文期刊>Internal medicine. >The Possible Link between GABAergic Dysfunction and Cognitive Decline in a Patient with Idiopathic Hypoparathyroidism
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The Possible Link between GABAergic Dysfunction and Cognitive Decline in a Patient with Idiopathic Hypoparathyroidism

机译:特发性甲状旁腺功能减退症患者的GABA能功能障碍与认知功能下降之间的可能联系

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Idiopathic hypoparathyroidism (IHP) is accompanied by cognitive impairment. We report the case of a 70-year-old IHP patient with cognitive disturbance. Brain computed tomography showed bilateral calcification in basal ganglia, thalamus, and cerebellum. Neuropsychological assessment revealed low scores for intelligence, memory, and perseverative errors. Brain positron emission tomography showed a significant reduction in [18F]-Fludeoxyglucose (FDG) uptake in bilateral frontal, left temporal and parietal cortices, along with a marked reduction in [11C]-flumazenil binding in left frontal, temporal, parietal, and bilateral cerebellum. These findings suggest cognitive impairment in IHP may be ascribed to GABAergic dysfunction, thus leading to, or coexisting with, cerebral hypometabolism.
机译:特发性甲状旁腺功能减退症(IHP)伴有认知障碍。我们报告了一名患有认知障碍的70岁IHP患者的病例。脑部计算机断层扫描显示基底节,丘脑和小脑的双侧钙化。神经心理学评估显示,智力,记忆力和持久性错误得分较低。脑正电子发射断层显像显示双侧额叶,左侧颞叶和顶叶皮质的[ 18 F]-氟氧葡萄糖(FDG)摄取显着减少,而[ 11 C]-氟马西尼在左额叶,颞叶,顶叶和双侧小脑中的结合。这些发现表明,IHP的认知功能障碍可能归因于GABA能功能障碍,从而导致或与脑代谢不足并存。

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