Extreme hypercalcaemia caused by immobilisation due to acute spinal cord injury

Jesse Marc Tettero, Elmer van Eeghen, Albertus Jozef Kooter*

*Corresponding author for this work

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Hypercalcaemia due to immobilisation is an uncommon diagnosis and requires extensive evaluation to rule out common causes of hypercalcaemia such as primary hyperparathyroidism and malignancy. We report an unusual case of profound hypercalcaemia due to immobilisation in a young man due to acute spinal cord ischaemia, leading to paraplegia. Other causes of hypercalcaemia were ruled out and elevated bone turnover markers supported our hypothesis. Conventional treatment with intravenous fluids, bisphosphonates and diuretics was insufficient. Subcutaneous calcitonin lowered the plasma calcium acutely and was continued for 8 weeks. Subsequent normocalcaemia was sustained for 2 years.
Original languageEnglish
Article numbere241386
JournalBMJ Case Reports
Issue number6
Publication statusPublished - 2 Jun 2021

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