Chronic severe hypocalcemia after thyroid cancer surgery was controlled basically after high dose calcium supplementation: 1 case report
10.3760/cma.j.cn115807-20240725-00247
- VernacularTitle:甲状腺癌术后长期严重低钙血症经大剂量补钙症状控制一例报道
- Author:
Xiaochun CHENG
1
;
Bin WU
;
Lingquan KONG
;
Liyuan MU
;
Jiangyu TU
;
Yuanyuan WANG
;
Kainan WU
Author Information
1. 重庆医科大学附属第一医院乳腺甲状腺外科，重庆 400016
- Keywords:
Thyroid cancer;
Thyroidectomy;
Hypocalcemia;
Hypoparathyroidism;
Calcium supplementation
- From:
Chinese Journal of Endocrine Surgery
2024;18(4):589-590
- CountryChina
- Language:Chinese
-
Abstract:
Thyroid cancer is the common malignant tumor in the neck, and surgery is the important treatment measure for it. Some patients suffer from hypoparathyroidism and hypocalcemia after thyroidectomy, which will seriously affect the patient’s life quality and prognosis. This article reported a case of 42 years old female patient with hypocalcemia for 6 years after total thyroidectomy due to thyroid cancer, who still had frequent hypocalcemia with high dose of oral calcium and active vitamin D supplementation. Long-term and frequent facial and limb numbness, convulsions, epileptic-like seizures and sudden unconsciousness afflicted her due to hypocalcemia. After admission, her symptoms were obviously relieved after one week of adequate calcium supplementation through oral administration or intravenous infusion under close monitoring. Upon discharge she was able to maintain the normal level of blood calcium by decreased dose of oral calcium supplementation alone. Long-term limb numbness, convulsions, low back pain, shoulder pain, walking instability and other symptoms disappeared basically. The epileptic-like seizures did not recur. During six months of follow-up, her blood calcium was still well controlled in normal level.
