L\’hyperparathyroïdie est secondaire à une sécrétion élevée de parathormone. Le diagnostic positif est biologique et le diagnostic de localisation est. Un mode de découverte inhabituel d’hyperparathyroïdie primaire: fractures multiples sur tumeurs brunes secondaires à un adénome parathyroïdien ectopique. Request PDF on ResearchGate | On Jul 1, , Lucie Ravella and others published Une cause inhabituelle d’hyperparathyroïdie primaire.
|Published (Last):||3 October 2014|
|PDF File Size:||4.80 Mb|
|ePub File Size:||7.26 Mb|
|Price:||Free* [*Free Regsitration Required]|
Histologically, adenoma has been hypperparathyroidie at 26 patients. The surgical approach may include a bilateral cervical exploration, a unilateral approach under local anesthesia, or focused minimally invasive video-assisted or totally endoscopic approaches. Blanchard aE. The surgical treatment is the rule. Access to the PDF text. In which subject field? The diagnosis is ordinarily easily made, based on an inappropriately elevated parathormone level PTH in the face of an hyperparatyyroidie serum calcium level.
The diagnosis of localization is radiological and isotopic. Extemporary exam was systematic. Persistent or recurrent HPT1 requires a meticulous diagnostic approach and management in surgical centers with expertise. Access peimaire the text HTML. The parathyroid hormone regulates calcium and phosphate levels and helps to maintain these levels.
Hyperparathyroïdie primaire sporadique – EM|consulte
We proceed to a retrospective study about 34 patients treated for primary hyperparathyroidism during the period between and The pathological glands were in the lower compartments in the majority of cases. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: They are based currently on a effective exam of localization overhung by the scintigraphy to the sestamibi.
Journal page Archives Contents list. The role of medical treatment is limited. Outline Masquer le plan. Language Portal of Canada Access a collection of Canadian resources on all aspects of English and French, including quizzes. Contact Help Who are we? The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
There was a problem providing the content you requested
A collection of writing tools that cover the many facets of English and French grammar, style and usage. Other operative techniques less invasiveness have been tried aiming to decrease the risk of transient or definitive hypoparathroidy.
Primary hyperparathyroidism, Parathormone, Intraoperative parathormone, Parathyroidectomy, Cervicoscopy. Primary hyperparathyroidism is secondary to an elevated secretion of parathormone. It was transient in 8 cases.
Human Diseases Hormones The Thyroid. Change the order of display of the official languages of Canada English first French first Option to display the non-official languages Spanish or Hyperparathydoidie Neither Spanish Portuguese Display definitions, contexts, etc.
Hyperparathyroidism due to neoplasms or idiopathic hyperplasia of the parathyroid glands. Situations difficiles Cervicotomie blanche. FAQ Frequently asked questions Display hyperparathyroixie. Log in or Register to get access to full text downloads. La chirurgie est le seul traitement curatif. You can move this window by clicking on the headline.
Access to the full text of this article requires a subscription.
Surgery is prmiaire only cure. The immediate post-operative hypocalcaemia has been observed at 11 patients. The outcome yhperparathyroidie normocalcemic patients with elevated postoperative PTH levels remains uncertain. Featuring journals from 32 Countries: The language you choose must correspond to the language of the term you have entered. Writing tools A collection of writing tools that cover the many facets of English and French grammar, style and usage.
Personal information regarding our website’s visitors, including their identity, is confidential. Other investigations are reserved for persistent or recurrent HPT1 post surgery. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
The positive diagnosis is biologic. Persistent elevation of PTH postoperatively without hypercalcemia does not mandate further exploration. As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data.
Hyperparathyroidism is overactivity of the parathyroid glands resulting in excess production of parathyroid hormone PTH.
Journal Tunisien d’ORL et de Chirurgie Cervico-Faciale
The middle age of our patients was of 51 years with a female predominance. Access a collection of Canadian resources on all aspects of English and French, including quizzes. Excessive PTH secretion may be due to problems in the glands themselves, in which case it is referred to as primary hyperparathyroidism and which hyperparathyroodie to hypercalcaemia raised calcium levels. Top of the page – Article Outline.
Our surgical strategy was the exploration under general anaesthesia of the 4 parathyroid glands. Surgery is recommended even for moderate HPT1 and for very elderly patients because improvement in both the quality of life and bone density have been proven in these situations.