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- W2402664220 abstract "Cette observation rapporte le cas d'une hypocalcémie et d'une hypomagnésémie après chirurgie carcinologique étendue, en relation avec une parathyroïdectomie totale non signalée par le chirurgien. Le diagnostic est évoqué au dixième jour postopératoire devant la survenue d'une agitation, de myoclonies et de fasciculations musculaires, d'un nystagmus et d'une hypotension orthostatique. Aucune manifestation cardiaque n'est observée. Un apport calcique ne permet pas la correction totale des troubles, qui ne disparaissent finalement qu'après un apport de sulfate de magnésium. A case is reported of hypomagnesaemia and hypocalcaemia occurring postoperatively in a 59-year-old man operated on for hypopharyngeal carcinoma which had extended to the upper extremity of the oesophagus. Surgery consisted in total pharyngolaryngectomy, ganglion curage, jejunal transplant, thyroidectomy and tracheostomy. Total parathyroidectomy was not mentioned in the surgical report. Hypocalcaemia was first noticed on the day following the procedure. On the tenth postoperative day, the patient became agitated and had myoclonia and muscle fasciculations. Nystagmus and orthostatic hypotension also occurred. There were no cardiac signs. Treatment with calcium alone was insufficient. These symptoms only disappeared once magnesium sulphate had been added." @default.
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- W2402664220 date "1992-01-01" @default.
- W2402664220 modified "2023-09-26" @default.
- W2402664220 title "Hypomagnésémie associée à une hypocalcémie après parathyroïdectomie méconnue" @default.
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- W2402664220 doi "https://doi.org/10.1016/s0750-7658(05)80351-x" @default.
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