e-ISSN: 2617-7668     print ISSN: 2522-9176
Periodic Hyperkalemic paralysis
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Abstract

A 69 year old man with hypoadrenalism in the anamnesis presented with flaccid quadriplegia and respiratory difficulty. He reported having a 3-month history of periodic attacks of flaccid quadriplegia with this one being the worse. In view of history of hypoadrenalism, flaccid quadriplegia related to hyperkalemia was suspected.  Addison's disease and hyperkalemia was confirmed biochemically. Adrenal replacement therapy restored the potassium levels to normal and resulted in no further attacks of paralysis.

References

1. Hyperkalemic Paralysis Due to Adrenal Insufficiency. HUBERT BELL, MD; WILLIAM L. HAYES, MD; JOHN VOSBURGH, MD. Arch Intern Med. 1965;115(4):418-420.
2. Acute Quadriplegia From Hyperkalemia: A Case Report and Literature Review. Panichpisal, Kessarin MD*; Gandhi, Shefali MD*; Nugent, Kenneth MD†; Anziska, Yaacov MD. Neurologist. November 2010 - volume 16 - issue 6 - p390-393.
3. Hiperkalemic paralysis, neuropathy and persistent motor neuron discharges at a rest in Addison disease. Journal of Neurology, Neurosurgery, and Psychiatry, 1980, 43, 818-822. JUAN JVILCHEZ, ANA CABELLO, JUAN BENEDITO, AND TERESA VILLARROYA. Hospital La Fe, Valencia, Spain
4. Hyperkalemic ascending paralysis. McCarty M, Jagoda A, Fairweather P. Ann Emerg Med 1998; 32: 104–7.
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Keywords

Addison disease
hyperkalemia
periodic paralysis
hipoadrenalism
Schmidt syndrome
fludrocortisone Болезнь Адиссона
гиперкалемия
периодический паралич
гипоадренализм
синдром Шмидта
флудрокортизон Adisson xəstəliyi
hiperkalemiya
periodik iflic
hipoadrenalizm
fludrokortizon
Şmidt sindromu

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