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CASE REPORT
Year : 2009  |  Volume : 53  |  Issue : 4  |  Page : 492-495

Patients with Symptomatic Primary Hyperparathyroidism: An Anaesthetic Challenge


1 Senior Resident, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India
2 Professor, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India

Correspondence Address:
Sukanya Mitra
203-B,New Type-VFlats, Sector 24-A, Chandigarh 160023
India
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Source of Support: None, Conflict of Interest: None


PMID: 20640216

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Primary hyperparathyroidism is a disease characterized by hyperealeaemia attributable to autonomous overpro­duction of parathormone. Many patients with primary hyperparathyroidism are asymptomatic. Osteoporosis and nephrolithiasis are some of the major sequelae seen in the symptomatic patients. Parathyroidectomy is the only curative therapy. However anaesthetic management of such patients may be problematic with associated cardiac arrhythmias and skeletal muscle weakness. Low serum albumin and alteration in the acid base status in the perioperative period can affect the serum calcium level and thus adds to the existing problem. We present the successful anaes­thetic management of a patient with primary hyperparathyroidism who initially presented with pathological fractures, and discuss the anaesthetic issues involved.


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