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Quadriplegia Due to Potassium Depletion: A Case Report

Received: 2 October 2014     Accepted: 15 October 2014     Published: 30 October 2014
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Abstract

Hypokalemia is a very frequent metabolic disorder seen in emergency medicine, paralysis related to depletion hypokalemia is rare. We present the case of a 22 years old male patient who presented with flaccid quadriplegia after vomiting. After potassium supplementation the patient completely recovered. We will explain through this case the pathogenesis of this paralysis and different pitfalls that must be avoided.

Published in Science Journal of Clinical Medicine (Volume 3, Issue 6)
DOI 10.11648/j.sjcm.20140306.11
Page(s) 104-105
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Hypokalemia, Depletion, Paralysis

References
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[2] Groeneveld JHM, Sijpkens YWJ, Lin SH, Davids MR, Halperin ML. An approach to the patient with severe hypokalemia: the potassium quiz. Q J Med 2005;98:305–16.
[3] A. El Hijri*, M. Harandou, N. Ech-Cherif el Kettani, A. Caidi, N. Kanjaa, A. Azzouzi,, H. Benerradi, A. Slaoui. Tétraplégie secondaire à une hypokaliémie de depletion. Ann Fr Anesth Réanim 2001 ; 20 : 294-6
[4] Mollaret P, Goulon M, Tournilhac L. Le problème des paralysies avec dyskaliémie. Presse Méd 1959; 67: 2137-8; 2225-7; 2338-40.
[5] Conn SW, Knopf RF, Nesbit RM. Clinical characteristics of pri-mary aldosteronism from analysis of 145 cases. Am J Surg 1964 ; 107 : 159
[6] Phelan DM, Worthley IG. Hypokalemic coma. Intensive Care Med 1985 ; 11 : 257-8.
[7] Christensen KS. Hypokalemic periodic paralysis secondary to renal tubular acidosis. Eur Neurol 1985 ; 24 : 303-5.
[8] Manary MJ, Keating JP, Hirshberg GE. Quadriparesis due to potassium depletion. Crit Care Med 1986;8:750-2.
[9] A. Atikou a, M. Rabhi a,,H.Hidani b, M. El Alaoui Faris b, F. Toloune. Crise cœliaque associée à une tétraplégie par hypokaliémie de déplétion révélatrice d’une maladie cœliaque. La Revue de médecine interne 30 (2009) 516–518
[10] Mollaret P, Goulon M, Nouailhat F. Le syndrome d’hypokaliémie. Rev Prat 1965 ; 15 : 3661-72.
[11] O. Eve *, J.-L. Soubirou, L. Crevon, J.-Y. Martinez, J. Escarment Paralysie hypokaliémique révélant une hyperthyroïdie. Annales Françaises d’Anesthésie et de Réanimation 23 (2004) 745–747
[12] Nicolas G, Nicolas F, Roso L. Traitement de l’hypokaliémie. Cœur Méd Interne 1976 ; 16 : 79-82
[13] Manoukian MA, Foote JA, Crapo LM. Clinical and metabolic features of thyrotoxic periodic paralysis in 24 episodes. Arch Intern Med 1999;159:601–6.
[14] Lin SH, Lin YF, Chen DT, Chu P, Hsu CW, Halperin ML. Laboratory tests to determine the cause of hypokalemia and paralysis. Arch Intern Med 2004;164:1561–6.
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  • APA Style

    Rachid Sirbou, Ahmed Belkouch, Lahcen Belyamani. (2014). Quadriplegia Due to Potassium Depletion: A Case Report. Science Journal of Clinical Medicine, 3(6), 104-105. https://doi.org/10.11648/j.sjcm.20140306.11

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    ACS Style

    Rachid Sirbou; Ahmed Belkouch; Lahcen Belyamani. Quadriplegia Due to Potassium Depletion: A Case Report. Sci. J. Clin. Med. 2014, 3(6), 104-105. doi: 10.11648/j.sjcm.20140306.11

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    AMA Style

    Rachid Sirbou, Ahmed Belkouch, Lahcen Belyamani. Quadriplegia Due to Potassium Depletion: A Case Report. Sci J Clin Med. 2014;3(6):104-105. doi: 10.11648/j.sjcm.20140306.11

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  • @article{10.11648/j.sjcm.20140306.11,
      author = {Rachid Sirbou and Ahmed Belkouch and Lahcen Belyamani},
      title = {Quadriplegia Due to Potassium Depletion: A Case Report},
      journal = {Science Journal of Clinical Medicine},
      volume = {3},
      number = {6},
      pages = {104-105},
      doi = {10.11648/j.sjcm.20140306.11},
      url = {https://doi.org/10.11648/j.sjcm.20140306.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20140306.11},
      abstract = {Hypokalemia is a very frequent metabolic disorder seen in emergency medicine, paralysis related to depletion hypokalemia is rare. We present the case of a 22 years old male patient who presented with flaccid quadriplegia after vomiting. After potassium supplementation the patient completely recovered. We will explain through this case the pathogenesis of this paralysis and different pitfalls that must be avoided.},
     year = {2014}
    }
    

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    T1  - Quadriplegia Due to Potassium Depletion: A Case Report
    AU  - Rachid Sirbou
    AU  - Ahmed Belkouch
    AU  - Lahcen Belyamani
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    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
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    AB  - Hypokalemia is a very frequent metabolic disorder seen in emergency medicine, paralysis related to depletion hypokalemia is rare. We present the case of a 22 years old male patient who presented with flaccid quadriplegia after vomiting. After potassium supplementation the patient completely recovered. We will explain through this case the pathogenesis of this paralysis and different pitfalls that must be avoided.
    VL  - 3
    IS  - 6
    ER  - 

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Author Information
  • Emergency Department, Mohamed V Military Hospital of Instruction, Faculty of Medicine and pharmacy, Rabat, Morocco

  • Emergency Department, Mohamed V Military Hospital of Instruction, Faculty of Medicine and pharmacy, Rabat, Morocco

  • Emergency Department, Mohamed V Military Hospital of Instruction, Faculty of Medicine and pharmacy, Rabat, Morocco

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