Scintigraphic findings in hungry bone syndrome following parathyroidectomy

Rev Esp Med Nucl. 2010 Mar-Apr;29(2):81-3. doi: 10.1016/j.remn.2009.10.003. Epub 2009 Dec 5.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / complications
  • Adenoma / surgery*
  • Female
  • Femur / diagnostic imaging
  • Femur / pathology
  • Humans
  • Hyperparathyroidism / complications
  • Hypocalcemia / diagnostic imaging*
  • Hypocalcemia / etiology
  • Hypophosphatemia / diagnostic imaging*
  • Hypophosphatemia / etiology
  • Metacarpal Bones / diagnostic imaging
  • Metacarpal Bones / pathology
  • Middle Aged
  • Organophosphorus Compounds
  • Organotechnetium Compounds
  • Osteitis Fibrosa Cystica / diagnostic imaging*
  • Osteitis Fibrosa Cystica / etiology
  • Osteitis Fibrosa Cystica / pathology
  • Parathyroid Neoplasms / complications
  • Parathyroid Neoplasms / surgery*
  • Parathyroidectomy / adverse effects*
  • Radionuclide Imaging
  • Radiopharmaceuticals
  • Technetium Tc 99m Medronate
  • Tibia / diagnostic imaging
  • Tibia / pathology

Substances

  • Organophosphorus Compounds
  • Organotechnetium Compounds
  • Radiopharmaceuticals
  • technetium tc-99m tetrofosmin
  • Technetium Tc 99m Medronate