Intraoperative measurement of parathyroid hormone in the surgical management of hyperparathyroidism.

  title={Intraoperative measurement of parathyroid hormone in the surgical management of hyperparathyroidism.},
  author={Samuel Nussbaum and A. Richard Thompson and Kelly A. Hutcheson and Randall D. Gaz and C L Albert Wang},
  volume={104 6},
The operative management of patients with hyperparathyroidism is controversial. Higher rates for persistent hypercalcemia and postoperative hypoparathyroidism are seen in multiple-gland hyperplasia and in bilateral neck exploration. Hyperparathyroid patients undergoing unilateral neck exploration with removal of a single parathyroid adenoma have a rapid clearance of parathyroid hormone (PTH) that declines to undetectable levels within hours after successful parathyroid surgery. We have taken… CONTINUE READING


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