Ischemic Stroke as the Presenting Symptom of Primary Hyperparathyroidism Due to Multiple Endocrine Neoplasia Type 1

We report a 14-year-old boy whose initial presentation of primary hyperparathyroidism was ischemic stroke in the absence of hypertension. We propose measurement of serum calcium and parathyroid hormone in all children with stroke symptoms or unexplained cranial infarcts.