Avitaminosis as a cause of spasmophilia

2021 ◽  
Vol 20 (4) ◽  
pp. 436-436
Author(s):  
E. Lepsky

Since the existing hypotheses about the causes of spasmophilia (lack of calcium, dysfunction of the thymus or parathyroid glands, alkaloa or guanidine poisoning) cannot be considered completely convincing, prof. P. Reuher (Kl. W., 1923, No. 4-5) is looking for its cause in vitamin deficiency.

2004 ◽  
Vol 43 (03) ◽  
pp. 85-90 ◽  
Author(s):  
E. Lopez Hänninen ◽  
Th. Steinmüller ◽  
T. Rohlfing ◽  
H. Bertram ◽  
M. Gutberlet ◽  
...  

Summary Aim: Minimally invasive resection of hyperfunctional parathyroid glands is an alternative to open surgery. However, it requires a precise preoperative localization. This study evaluated the diagnostic use of magnetic resonance (MR) imaging, parathyroid scintigraphy, and consecutive image fusion. Patients, methods: 17 patients (9 women, 8 men; age: 29-72 years; mean: 51.2 years) with primary hyperparathyroidism were included. Examination by MRI used unenhanced T1- and T2-weighted sequences as well as contrast-enhanced T1-weighted sequences. 99mTc-MIBI scintigraphy consisted of planar and SPECT (single photon emission tomography) imaging techniques. In order to improve the anatomical localization of a scintigraphic focus, SPECT-data were fused with the corresponding MR-data using a modified version of the Express 5.0 software (Advanced Visual Systems, Waltham, MA). Results of image fusion were then compared to histopathology. Results: In 14/17 patients, a single parathyroid adenoma was found. There were 3 cases with hyperplastic glands. MRI detected 10 (71%), scintigraphy 12 (86%) adenomas. Both modalities detected 1/3 patients with hyperplasia. Image fusion improved the anatomical assignment of the 13 scintigraphic foci in five patients and was helpful in the interpretation of inconclusive MR-findings in two patients. Conclusions: Both MRI and 99mTc-MIBI scintigraphy sensitively detect parathyroid adenomas but are less reliable in case of hyperplastic glands. In case of a scintigraphic focus, image fusion considerably improves its topographic assignment. Furthermore, it facilitates the evaluation of inconclusive MRI findings.


2019 ◽  
Vol 15 (68) ◽  
pp. 082 ◽  
Author(s):  
V. P. Mischenko ◽  
I. V. Rudenko ◽  
V. K. Likhachov ◽  
M. Y. Golubenko ◽  
L. M. Dobrovolska

2018 ◽  
Vol 0 (2) ◽  
pp. 18-24
Author(s):  
O. O. Kopchak ◽  
T. A. Odintsova ◽  
N. Yu. Bachynska

Author(s):  
A. Senchik ◽  
◽  
N. Trush ◽  
G. Gavrilova ◽  
I. Sayapina ◽  
...  

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