TY - JOUR A2 - Exadaktylos，Aristomenis K. AU - 米娜，杜尔加桑卡AU - Bohra，戈帕尔Krishana AU - 加尔格，马亨德拉·库马尔AU - Purohit，阿布舍克AU - 库马尔，迪帕克AU - 帕蒂，Swapnil PY - 2020 DA - 2020 /02/08 TI - 高血钙症性脑病比如多发性骨髓瘤SP的初步介绍 - 4746865 VL - 2020 AB - 我们报道一个84岁的女性向我们提出急性起病改变感觉中枢的情况。在调查中，神经系统和感染原因进行排除。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. SN - 2090-648X UR - https://doi.org/10.1155/2020/4746865 DO - 10.1155/2020/4746865 JF - Case Reports in Emergency Medicine PB - Hindawi KW - ER -