Hypokalemic periodic paralysis: a case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20172489Keywords:
Familial, Hypokalaemia, Periodic paralysis, QuadriparesisAbstract
Hypokalemic periodic paralysis (HPP), a clinical syndrome characterized by low serum potassium, is a rare but treatable cause of acute muscular weakness. The etiology can be attributed to various factors and can be either idiopathic or due to secondary causes. The approach to a case of HPP involves identifying the underlying etiology and prompt replenishment and maintenance of the potassium levels. Further management depends on the cause, frequency of attacks, severity of symptoms and the duration of the illness.
References
Goyal A, Spertus JA, Gosch K, Venkitachalam L, Jones PG, Van den Berghe G et al. Serum Potassium Levels and Mortality in Acute Myocardial Infarction. JAMA. 307(2):157-64.
Soar J, Perkins GD, Abbas G, Alfonzo A, Barelli A, Bierens JJ et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution. Resuscitation. 2010;81(10):1400-33.
Anthony DK, Murray PM. Lippincott Williams and Wilkins. 2006:812.
Potts WTW, Parry G. Osmotic and ionic regulation in animals; 1964.
Lans HS, Stein IF, Meyer KA. The relation of serum potassium to erythrocyte potassium in normal subjects and patients with potassium deficiency. Am J Med Sci. 1952 223(1):65-74.
Rudel R, Lehmann-Horn F, Ricker K. Hypokalemic periodic paralysis: in vitro investigation of muscle fiber parameters. Muscle Nerve.1984;7(2):110-20.
Troni W, Doriguzzi C, Mongini T. Interictal conduction slowing in muscle fibers in hypokalemic periodic paralysis. Neurology. 1983;33(11):1522-5.
Melnick B, Chang J, Larson CE, Bedger R. Hypokalemic familial periodic paralysis. Anesthesiology. 1983;58(3):263-5.
Griggs RC, Resnick J, Engel WK. Intravenous treatment of hypokalemic periodic paralysis. Arch Neurol. 1983;40(9):539-40.
Frey K, Holman S, Mikat-Stevens M, Vazquez J, White L, Pedicini E, et al. The recovery profile of hyperbaric spinal anesthesia with lidocaine, tetracaine, and bupivacaine. Reg Anesth Pain Med. 1998;23(2):159-63.
Venance SL, Cannon SC, Fialho D, Fontaine B, Hanna MG, Ptacek LJ, et al. The primary periodic paralyses: Diagnosis, pathogenesis and treatment. Brain. 2006;129 (Pt 1):8-17.
Rollman JE, Dickson CM. Anesthetic management of a patient with hypokalemic periodic paralysis for coronary artery bypass surgery. Anesthesiology 1985;63(5):526-7.
Levitt JO. Practical aspects in the management of hypokalemic periodic paralysis. J Transl Med. 2008;6:18.