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CASE REPORT
Year : 2014  |  Volume : 58  |  Issue : 4  |  Page : 470-472

Undetected hypoparathyroidism: An unusual cause of perioperative morbidity


Department of Neuroanaesthesiology and Critical Care, Medanta, The Medicity, Gurgaon, Haryana, India

Correspondence Address:
Dr. Ashish Chakravarty
Department of Neuroanaesthesiology and Critical Care, Medanta, The Medicity, Gurgaon, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.139014

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Routine investigation of serum calcium is not recommended in ASA one and two patients unless abnormalities of calcium metabolism are clinically suspected. The clinical features of hypocalcaemia can often be subtle and may manifest in the presence of associated factors. Hypoparathyroidism, an important cause of hypocalcaemia, often presents as soft tissue calcification (ostosis). Ligamentum flavum ostosis can present with compressive myelopathy requiring laminectomy. We report a case of ligamentum flavum ostosis and subclinical hypocalcaemia due to hypoparathyroidism, who went undetected pre-operatively resulting in significant post-operative morbidity.


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