CT Imaging for Parathyroid Disease
Fig. 14.1 Non-enhanced, arterial, and venous-phase (left to right) axial CT images from a 4DCT in a patient with primary hyperparathyroidism shows an ovoid parathyroid adenoma posterior to the right…
OTOLARYNGOLOGY
Intraoperative Parathyroid Ultrasound
Fig. 23.1 Left inferior parathyroid adenoma abutting left common carotid artery and dorsal to left thyroid lobe. Transverse view. CCA common carotid artery, IJV internal jugular vein, SH/ST sternohyoid and…
Technologist’s Perspective of Parathyroid Scintigraphy
Fig. 40.1 It is important to examine the patient’s neck for any masses or signs of prior surgery before the patient is imaged. Also, when imaging, the patient’s chin should…
Complications of Parathyroid Surgery
Fig. 46.1 Vascular supply of the parathyroid glands and relationship with the thyroid gland and recurrent laryngeal nerve. Surgery of the Thyroid and Parathyroid Glands Edition 2, Greg W. Randolph,…
Minimally Invasive Radioguided Parathyroidectomy
Serum calcium >12.0 mg/dL 24-h Urinary calcium >400 mg/day Episode of life-threatening hypercalcemia Creatinine clearance decreased by ≥30 % Nephrolithiasis Age <50 years Osteitis fibrosa cystica Osteoporosis Neuromuscular symptoms Preoperative…
Parathyroid Carcinoma
Fig. 31.1 Gross pathology specimen of a parathyroid carcinoma. The tumor was pushing and displacing the thyroid gland but not invading it. The right thyroid lobe was removed regardless due…
Outpatient Parathyroidectomy
Fig. 37.1 Cervical ultrasound demonstrating a right inferior parathyroid adenoma (a) Transverse view; (b) Longitudinal view Sestamibi Scintigraphy Sestamibi (six methoxyisobutylisonitrile) is a monovalent lipophilic cation that diffuses passively across…
Intraoperative Nerve Monitoring for Parathyroid Surgery
Fig. 36.1 Left inferior gland parathyroid carcinoma Temporary hoarseness can occur after any surgery that involves general anesthesia, but the potential for RLN injury in parathyroid surgery mandates greater concern…
Primary Hyperparathyroidism in the Pediatric Patient
General Cardiac CNS Renal GI Decreased bone density Bradycardia Fatigue Nephrocalcinosis Constipation Anorexia Shortened QT interval Hypotonia/weakness Nephrolithiasis Nausea/vomiting Weight loss Prolonged PR interval Seizure Urolithiasis Pancreatitis Pruritus Arrhythmias Coma…
Endoscopic Parathyroidectomy
Fig. 18.1 Preoperative imaging studies in candidate for minimally invasive, video-assisted parthyroidectomy. Early (a) and delayed (b) Tc-99m-sestamibi and SPECT-CT images (c) suggesting a parathyroid lesion posterior to the inferior…
