OBJECTIVES/HYPOTHESIS Routine identification of all four parathyroid glands has been advocated as a means of reducing rates of postoperative hypocalcemia and inadvertent parathyroidectomy. The object of the present study was to investigate whether identification of more parathyroid glands during thyroidectomy performed by capsular dissection technique had any impact on incidence of postoperativ...

BACKGROUND Rapid parathyroid hormone (PTH) assay has been applied to predict hypocalcemia after thyroidectomy compared with conventional close monitoring of serum calcium levels. We evaluated the reliability of intraoperative intact PTH (ioPTH) assay to predict hypocalcemia after total thyroidectomy and sought to develop an algorithm for the management of postthyroidectomy patients. METHODS R...

BACKGROUND Parathyroid dysfunction leading to symptomatic hypocalcemia is not uncommon following a total or completion thyroidectomy and is often associated with significant patient morbidity and a prolonged hospital stay. A simple, reliable indicator to identify patients at risk would permit earlier pharmacologic prophylaxis to avoid these adverse outcomes. We examined the role of intact parat...

Received: 2 December 2010, Accepted: 1 February 2011 Corresponding author: Dohee Kim Division of Endocrinology and Metabolism, Department of Internal Medicine, Dankook University College of Medicine, San 16-5, Anseo-dong, Dongnam-gu, Cheonan 330-715, Korea Tel: +82-41-550-3934, Fax: +82-41-556-3256, E-mail: [email protected] Hypocalcemia can be complicated, on rare occasions, by congestive h...

Hypocalcemia due to chronic hypoparathyroidism presents with nonspecific symptoms. However, if untreated, hypocalcemia may affect neurological, cognitive, muscular, and cardiac function. Computed tomography (CT) findings may confirm a diagnosis of chronic hypoparathyroidism. Although autoimmune acquired hypoparathyroidism is a rare disease, early diagnosis and treatment are critical for avoidin...

background: although phototherapy has been used for more than 60 years it has some complications. the light waves produced from phototherapy reduce melatonin concentration in newborns with subsequent hypocalcemia. we aimed to assess the effect of head covering on calcium and magnesium levels in full term newborns during phototherapy. methods: in this randomized controlled trial, 72 full-term ic...

Introduction: Parathyroid dysfunction leading to symptomatic hypocalcemia is not uncommon following a total thyroidectomy and is often associated with significant patient morbidity and a prolonged hospital stay. The current study aimed at evaluating the comparative predictive role of serum calcium and intact parathyroid hormone (iPTH) for post-thyroidectomy hypocalcemia.   Materials and Methods...

BACKGROUND Chronic alcohol (ethanol) consumption during pregnancy results in maternal/fetal hypocalcemia, which may underlie some of ethanol's adverse effects on maternal and fetal bone, and fetal/neonatal health. Ethanol appears to alter the relationship between parathyroid hormone (PTH) and blood calcium (Ca) level, and PTH does not increase in response to ethanol-induced hypocalcemia. Howeve...

CONTEXT AND OBJECTIVE magnesium ion concentration is directly related and phosphorus ion concentration is inversely related to calcemia. The aim of this study was to evaluate the evolution of magnesium and phosphorus ion levels in patients undergoing thyroidectomy and correlate these with changes to calcium concentration. DESIGN AND SETTING prospective study at the Alpha Institute of Gastroen...