{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:42:03Z","timestamp":1783485723133,"version":"3.55.0"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"744","license":[{"start":{"date-parts":[[1987,10,1]],"date-time":"1987-10-01T00:00:00Z","timestamp":560044800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,10,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Two patients with long-standing hyperparathyroidism due to a parathyroid adenoma are described. Both had severe osteitis fibrosa cystica and a proximal myopathy. Both were treated with alfacalcidol (2 micrograms\/day) prior to and following parathyroidectomy, and infused with calcium gluconate following the operation. Plasma total and ionized calcium and magnesium concentrations were maintained within the normal range. However, both developed tetany in the postoperative period in spite of normal ionized calcium and magnesium concentrations. Tetany continued for 4 weeks in one patient and for longer in the other. Prolonged hypercalcaemia may result in a state of neuromuscular excitability following parathyroidectomy even at high normal concentrations of ionized calcium.<\/jats:p>","DOI":"10.1136\/pgmj.63.744.885","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"885-886","source":"Crossref","is-referenced-by-count":6,"title":["Tetany despite normocalcaemia and normomagnesaemia following parathyroidectomy"],"prefix":"10.1093","volume":"63","author":[{"given":"V A","family":"Fonseca","sequence":"first","affiliation":[{"name":"Metabolic Unit, Department of Chemical Pathology and Human Metabolism, Royal Free Hospital and School of Medicine , Pond Street, London NW3 2QG , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R D","family":"Bloom","sequence":"additional","affiliation":[{"name":"Metabolic Unit, Department of Chemical Pathology and Human Metabolism, Royal Free Hospital and School of Medicine , Pond Street, London NW3 2QG , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Dick","sequence":"additional","affiliation":[{"name":"Department of Radiology, Royal Free Hospital and School of Medicine , Pond Street, London NW3 2QG , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Dandona","sequence":"additional","affiliation":[{"name":"Metabolic Unit, Department of Chemical Pathology and Human Metabolism, Royal Free Hospital and School of Medicine , Pond Street, London NW3 2QG , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1987,10,1]]},"reference":[{"issue":"7","key":"ref_1","first-page":"223","article-title":"The use of lahydroxyvitamin D3 in the management of patients undergoing parathyroidectomy","volume":"1977","author":"Parsons, V.; Jones, R.; Weston, M.","unstructured":"Parsons, V., Jones, R., Weston, M. et al. The use of lahydroxyvitamin D3 in the management of patients undergoing parathyroidectomy. Clin Endocrinol (Oxford) 1977, 7 (suppl): 223-224.","journal-title":"Clin Endocrinol (Oxford)"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/S0140-6736(74)91265-3","article-title":"Magnesium dependent vitamin D resistant rickets","volume":"i:","author":"Reddy, V.; Sivakumar, B.","year":"1974","unstructured":"Reddy, V. & Sivakumar, B. Magnesium dependent vitamin D resistant rickets. Lancet 1974, i: 963-965.","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1111\/j.1365-2265.1976.tb01947.x","article-title":"Functional hypoparathyroidism and parathyroid hormone end organ resistance in human magnesium deficiency","volume":"5","author":"Rude, R.K.; Oldham, S.B.; Singer, F.R.","year":"1976","unstructured":"Rude, R.K., Oldham, S.B. & Singer, F.R. Functional hypoparathyroidism and parathyroid hormone end organ resistance in human magnesium deficiency. Clin Endocrinol (Oxford) 1976, 5: 209-214.","journal-title":"Clin Endocrinol (Oxford)"},{"issue":"291","key":"ref_4","first-page":"680","article-title":"Electrolyte disturbances and cardiac failure with hypomagnesaemia in anorexia nervosa","volume":"1985","author":"Fonseca, V.A.; Havard, C.W.H.","unstructured":"Fonseca, V.A. & Havard, C.W.H. Electrolyte disturbances and cardiac failure with hypomagnesaemia in anorexia nervosa. Br Med J 1985, 291: 680-682.","journal-title":"Br Med J"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/63\/744\/885\/50080488\/postgradmedj-63-885.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/63\/744\/885\/50080488\/postgradmedj-63-885.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T05:03:44Z","timestamp":1683263024000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/63\/744\/885\/7047182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,10,1]]},"references-count":4,"journal-issue":{"issue":"744","published-online":{"date-parts":[[1987,10,1]]},"published-print":{"date-parts":[[1987,10,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.63.744.885","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1987,10]]},"published":{"date-parts":[[1987,10,1]]}}}