Sahai S.,Gr Medical College Gwalior |
Sahai A.,Birla Institute of Medical Research
Journal, Indian Academy of Clinical Medicine | Year: 2010
Hypokalaemic periodic paralysis is a well recognised clinical entity with varied aetiology. The commonest cause described amongst the Caucasian population is the primary type of hypokalaemic periodic paralysis, which is familial. A greater incidence of secondary hypokalaemic periodic paralysis has been reported from the eastern population. Here, we describe the case of a young man who presented to us with acute quadriplegia as a result of hypokalaemia. Subtle symptoms and signs led us to the suspicion of thyrotoxicosis, which was proved on investigations. Review of literature revealed that secondary causes of hypokalaemic periodic paralysis like thyrotoxicosis, have a higher incidence among men of Asian origin. Hence, the possibility of hypokalaemia being secondary to a specific disease should always be entertained in our setting because treatment of the primary disease is definitive and prevents further attacks of hypokalaemic paralysis.