{"references": ["1. Damiano G, Cocchiara G, Palumbo VD, Fatica F, Caternicchia F, Lo Monte AI, Cajozzo M. Iatrogenic hypoparathyroidism after surgery for retrosternal goitre. A single centre retrospective analysis. 2018;169(2):e67-e70.", "2. Zhou HY, He JC, McHenry CR. Inadvertent parath yroidectomy: incidence risk factors, and outcomes. J Sug Res. 2016;205(1):70-5.", "3. McCullough M, Weber C, Leong C, Sharma J. Safety, efficacy, and cost savings of single parathyroid hormone measurement for risk stratification after total thyroidectomy.Am Surg. 2013;79:768\u2013774.", "4. Youngwirth L, Benavidez J, Sippel R, Chen H. Postoperative parathyroid hormone testing decreases symptomatic hypocalcemia and associated emergency room visits after total thyroidectomy. Surgery. 2010;148:841\u2013844. discussion 844\u2013846."]}

Calcium plays vital role in the body. As a result, calcium homeostasis is precisely regulated through the actions of parathyroid hormone (PTH), vitamin D, and calcitonin. Hypoparathyroidism is an endocrine disorder characterized by a deficiency in PTH, resulting in hypocalcemia and hyperphosphatemia. The incidence of a hypoparathyroidism after total thyroidectomy has been highly variable ranging between 7 to 37%. A patient presented to us with complaints of nausea and frequent cramps in fingers since 6 months. She took treatment from local doctor but didn't get relieved. She had undergone total thyroidectomy one year back. She was started on thyroxin with calcium and vitamin-D supplement after which she started getting relief.