Hypercalcemic Encephalopathy as an Initial Presentation of Multiple Myeloma
Joint Authors
Meena, Durga Shankar
Bohra, Gopal Krishana
Garg, Mahendra Kumar
Purohit, Abhishek
Kumar, Deepak
Tripathi, Swapnil
Source
Case Reports in Emergency Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report the case of an 84-year-old female presented to us with acute onset altered sensorium.
On investigation, neurological and infectious causes were ruled out.
On further evaluation, her serum calcium was found elevated (15.07 gm/dl).
The diagnosis of hypercalcemic encephalopathy was made with the possibility of multiple myeloma due to raised total protein and globulin levels.
Serum electrophoresis, immunofixation, and bone marrow examination confirmed the diagnosis of multiple myeloma.
The patient was treated with bortezomib, dexamethasone, and lenalidomide.
After 1 week, she improved with normalization of serum calcium.
Herein, we highlight hypercalcemia as an important cause of encephalopathy.
As our report suggests, metabolic encephalopathy can be the first presentation in multiple myeloma.
American Psychological Association (APA)
Meena, Durga Shankar& Bohra, Gopal Krishana& Garg, Mahendra Kumar& Purohit, Abhishek& Kumar, Deepak& Tripathi, Swapnil. 2020. Hypercalcemic Encephalopathy as an Initial Presentation of Multiple Myeloma. Case Reports in Emergency Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147213
Modern Language Association (MLA)
Meena, Durga Shankar…[et al.]. Hypercalcemic Encephalopathy as an Initial Presentation of Multiple Myeloma. Case Reports in Emergency Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1147213
American Medical Association (AMA)
Meena, Durga Shankar& Bohra, Gopal Krishana& Garg, Mahendra Kumar& Purohit, Abhishek& Kumar, Deepak& Tripathi, Swapnil. Hypercalcemic Encephalopathy as an Initial Presentation of Multiple Myeloma. Case Reports in Emergency Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147213
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147213