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. 2014 Jul;58(4):470-2.
doi: 10.4103/0019-5049.139014.

Undetected hypoparathyroidism: An unusual cause of perioperative morbidity

Ashish Chakravarty  1 , Saurabh Anand  1 , Harsh Sapra  1 , Yatin Mehta  1
Affiliations

Undetected hypoparathyroidism: An unusual cause of perioperative morbidity

Ashish Chakravarty et al. Indian J Anaesth. 2014 Jul.

Abstract

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.

Keywords: Hypocalcaemia; hypoparathyroidism; ligamentum flavum ostosis.

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Conflict of interest statement

Conflict of Interest: None declared

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