Hypokalemic periodic paralysis: a case report

DOI: https://doi.org/10.47648/zhswmcj.2020.v0102.08

Golam Nabi1 , Fahmida Ferdou2 , Sadika Kadir3 , Sarah Ambarin Chowdhury4 , Mohammad Babul Miah5 , Mahmudul Hasan6 , NMW Rahman7

Abstract

Hypokalemic periodic paralysis (HKPP) is a rare genetic disorder with autosomal dominant inheritance and characterized by recurrent attacks of skeletal muscle weakness with associated hypokalemia which is precipitated by stress, cold, carbohydrate load, infection, glucose infusion, hypothermia, metabolic alkalosis, anesthesia and steroids. Hypokalemic Periodic Paralysis is one form of Periodic Paralysis, a rare group of disorders that can cause of sudden onset weakness. A case of a 29 year old male is presented here. The patient presented with sudden onset paralysis of his extremities. Laboratory evaluation revealed a markedly low potassium level. The patient’s paralysis resolved upon repletion of his low potassium and he was discharged with no neurologic deficits. Although rare, Periodic Paralysis must differentiated from other causes of weakness and paralysis so that the proper treatment can be initiated quickly.


  1. Associate Professor of Medicine

    Z H Sikder Women’s Medical College, Dhaka

  2. Assistant Professor of Psychiatry

    Z H Sikder Women’s Medical College, Dhaka

  3. Assistant Professor of Paediatric

    Z H Sikder Women’s Medical College, Dhaka

  4. Assistant Professor Obs.& Gynae

    International Medical College, Tongi

  5. Assistant Professor of Medicine

    Enam Medical College & Hospital

  6. Junior Consultant (Medicine)

    UHC Shibpur, Madaripur

  7. Associate Professor in Microbiology

    Z H Sikder Women’s Medical College, Dhaka


Volume 1, Number 2, July 2019
Page: 29-31