HYPERCALCEMIA NEPHROPATHY AND ENCEPHALOPATHY FOLLOWING IMMOBILIZATION

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Abstract
The case of an active 12 year old boy who was suddenly immobilized following fracture of a femur is presented. The prolonged immobilization led to hypercalcemia and renal damage with hypertensive encephalopathy and osteoporosis. Following withdrawal of Ca from the diet, administration of intravenous fluids and increase in the child's activity, the serum Ca gradually returned to a normal level and signs of hypertensive encephalopathy and of renal damage disappeared. The pathogenesis of acute osteoporosis following sudden immobilization is briefly discussed.

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