title: [Fatal hyperparathyroidism].
abstract: Hyperparathyroidism is able to determine suddenly after a very poor clinical history a deep coma : in such a condition, the diagnosis with the paraneoplastic hypercalcemia may be a difficult one : cervicotomy can be the heroïc way to lead to diagnosis and in the same time to perform treatment. To avoid such a dramatic situation, the authors propose cervicotomy for every patient suspected of P.T.H. adenoma, when calcemia is higher than 115 mg c/l, even if the symptoms are very slight or nil.
mesh_terms: D000236:Adenoma / Q000175:diagnosis; D000368:Aged; D003128:Coma / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006961:Hyperparathyroidism / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000175:diagnosis
vernacular_title: Les hyperparathyroïdies mortelles