Acute ascending paralysis presenting as an endocrine emergency
Julie Gorchynski, MD, MSc
Department of Emergency Medicine, Texas A&M, Corpus Christi, TX, USA
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Fig. 1
Initial ECG.
Thyrotoxic hypokalemic periodic paralysis is an endocrine emergency characterized by acute attacks of profound weakness or paralysis of the proximal muscles as a result of hypokalemia in the presence of thyrotoxicosis that resolves with the treatment of hyperthyroidism. We report a first case of acute ascending paralysis in a patient without prior history of periodic paralysis and new onset of thyrotoxicosis. An autosomal recessive genetic disorder, it has been suggested that the paralysis unmasks only in the presence of thyrotoxicosis [Am J Emerg Med.
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© 2009 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
