title: Undetected hypoparathyroidism: An unusual cause of perioperative morbidity.
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.
authors.affiliation: Department of Neuroanaesthesiology and Critical Care, Medanta, The Medicity, Gurgaon, Haryana, India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Chakravarty
authors.affiliation: Department of Neuroanaesthesiology and Critical Care, Medanta, The Medicity, Gurgaon, Haryana, India.
authors.forename: Saurabh
authors.initials: S
authors.lastname: Anand
authors.affiliation: Department of Neuroanaesthesiology and Critical Care, Medanta, The Medicity, Gurgaon, Haryana, India.
authors.forename: Harsh
authors.initials: H
authors.lastname: Sapra
authors.affiliation: Department of Neuroanaesthesiology and Critical Care, Medanta, The Medicity, Gurgaon, Haryana, India.
authors.forename: Yatin
authors.initials: Y
authors.lastname: Mehta
keywords: Hypocalcaemia; hypoparathyroidism; ligamentum flavum ostosis