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:: Volume 2, Issue 2 (Spring - 2014) ::
Shefaye Khatam 2014, 2(2): 65-69 Back to browse issues page
Hyperthyroid Hypokalemic Periodic Paralysis
Laleh Hakemi *, Naereh Khodashenas
Interdisciplinary Pain Clinic, Shefa Neuroscience Research Center, Khatam Alanbia Hospital, Tehran, Iran. , lalehakemi@yahoo.com
Abstract:   (3260 Views)

Introduction: Many internal medicine conditions may be presented to pain centers and an interdisciplinary and holistic approach is necessary for optimal management. Case Description: A 46 year old man presented to the interdisciplinary pain clinic at Shefa Neuroscience Research Center complaining of periodic weakness, pain and tenderness in proximal lower extremities, anxiety, irritability and weight loss since 3 months ago. On examination and laboratory results, hyperthyroidism and severe hypokalemia were evident. On echocardiography, ejection fraction was 25%. He was admitted in coronary care unit for cardiac monitoring and received propranolol and methimazole. Results: After stabilizing the heart rate and correction of potassium level, paralysis was completely subsided and ejection fraction increased to 55%. He was discharged from the hospital in good situation. Conclusion: Hyperthyroid hypokalemic periodic paralysis is a rare but well-known condition with episodes of muscular weakness or paralysis. It can be diagnosed by good history taking, physical examination, and laboratory evaluation. Appropriate therapy is necessary for treatment and prevention of paralytic episodes. Although the prognosis is usually good, in case of misdiagnosis and maltreatment this condition may be fatal.

Keywords: Hyperthyroidism, Hypokalemia, Hypokalemic Periodic Paralysis
Full-Text [PDF 237 kb]   (962 Downloads)    
Type of Study: Case Report --- Open Access, CC-BY-NC | Subject: Neurology



DOI: 10.18869/acadpub.shefa.2.2.65


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Hakemi L, Khodashenas N. Hyperthyroid Hypokalemic Periodic Paralysis. Shefaye Khatam. 2014; 2 (2) :65-69
URL: http://shefayekhatam.ir/article-1-83-en.html
Volume 2, Issue 2 (Spring - 2014) Back to browse issues page
مجله علوم اعصاب شفای خاتم The Neuroscience Journal of Shefaye Khatam
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