Background. Primary Hyperparathyroidism is a generalized impairment of the calcium, phosphate and bone
metabolism resulting from the prolonged hypersecretion of parathormone.
Methods and Results. Surgical treatment offers safe and definitive solution. Key moment of the disease is the correct
diagnose and localization of the hyperfunctional gland. Wide spectrum of methods for the diagnosis has been
available. The method of choice is the combination of MIBI scintigraphy and ultrasonography which can achieve up
to 98% of sensitivity. A cohort of 95 patients treated during the last 4 years is presented.
Conclusions. The aim of the paper is to give an overview on the individual pre- and peroperative methods and to
analyse their significance for our patients.
MIBI scintigraphy, peroperative radionavigation, parathormon, quick test.