甲状腺切除术后引起的甲状旁腺功能减退症常并发一些神经系统症状,最常见的有手足搐搦、抽搐发作、舞蹈和手足徐动样动作、精神症状、颅内压升高。本文报告1例术后甲状旁腺功能减退症患者出现晚发的合并症。患者60岁女性,27年前作部份甲状腺切除术,不久即出现手足搐搦,间断用钙剂和甲状旁腺素治疗,7年后左眼白内障作晶状体摘除术。以后,手足搐搦消失,停用上述药物。22年后右眼白内障。25年后出现抽搐发作,体检:表情呆板,四肢和颈部强直,右腕、肘关节呈齿轮样强直。Chvostek和Trousseau症阴性。实验室检查:血清钙2.0mol/l(正常2.25～2.75mmol/l)磷2.7mmol/l(正常0.80～1.6mmol/l), Parathyroid surgery caused by hypoparathyroidism often complicated by some neurological symptoms, the most common are tetany, convulsions, dances and hand-foot-like movements, mental symptoms, increased intracranial pressure. This article reports 1 case of postoperative hypoparathyroidism patients with late complications. The 60-year-old woman, who had a partial thyroidectomy 27 years earlier, soon had tetany and intermittent calcium and parathyroid hormone therapies. After seven years, his left eye and cataract had undergone a lens ablation. After the tetany disappeared, disable the above drugs. Right eye cataracts after 22 years. Twenty-five years after the onset of convulsions, physical examination: facial expressions dull, limbs and neck stiffness, right wrist, elbow-like gear-like ankylosis. Chvostek and Trousseau disease negative. Laboratory tests: serum calcium 2.0mol / l (normal 2.25 ~ 2.75mmol / l) phosphorus 2.7mmol / l (normal 0.80 ~ 1.6mmol / l)