Ajmi S, Sfar R, Trimeche S, Ben Ali K, Nouira M
Department of Nuclear Medicine, Sahloul's Hospital, Sousse, Tunisia.
Rev Esp Med Nucl. 2010 Mar-Apr;29(2):81-3. doi: 10.1016/j.remn.2009.10.003. Epub 2009 Dec 5.
Prolonged hypocalcemia following parathyroidectomy, called hungry bone syndrome, is a common complication of parathyroid surgery seen in 13-30% of cases. In this article, we report the case of a 48-year-old woman with bone pain and multiple brown tumors as the first manifestation of primary hyperparathyroidism due to a large parathyroid adenoma. After parathyroidectomy, the patient presented clinical signs of hypocalcemia consistent with hungry bone syndrome. Scintigraphic and radiographic modifications following parathyroidectomy are described.
甲状旁腺切除术后出现的持续性低钙血症,称为饥饿骨综合征,是甲状旁腺手术常见的并发症,见于13% - 30%的病例。在本文中,我们报告了一例48岁女性,其以骨痛和多发棕色瘤作为因巨大甲状旁腺腺瘤导致的原发性甲状旁腺功能亢进的首发表现。甲状旁腺切除术后,该患者出现了与饥饿骨综合征相符的低钙血症临床体征。本文描述了甲状旁腺切除术后的闪烁扫描和影像学改变。