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January 29, 2009Acta Neurologica Scandinavica

Effect Upon Serum Insulin, Glucose and Potassium Concentrations of Acetazolamide During Attacks of Familial Periodic Hypokalemic Paralysis

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Why the study?

Does acetazolamide reduce the severity of paralysis and alter serum insulin, glucose, and potassium levels in patients with familial periodic hypokalemic paralysis?

Population

4 patients with familial periodic hypokalemic paralysis

Comparison

Acetazolamide vs Untreated state

Design

Case_series

Authors

TJTorsten JohnsenDansk Sygehus Institut

Discussion

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Implication

May support acetazolamide prophylaxis in hypokalemic periodic paralysis; hypothesis-generating and requires randomized confirmation.

Structured PICO

Does acetazolamide reduce the severity of paralysis and alter serum insulin, glucose, and potassium levels in patients with familial periodic hypokalemic paralysis?

P
Population
4 patients with familial periodic hypokalemic paralysis
I
Intervention
Acetazolamide
C
Comparator
Untreated state (patients serving as their own controls during induced paralytic attacks)
O
Outcome
Length and severity of paralysis, and serum concentrations of insulin, glucose, and potassium during induced attackssurrogate

Acetazolamide reduces the severity of paralytic attacks and lowers serum insulin and glucose levels in familial periodic hypokalemic paralysis, suggesting an indirect prophylactic action possibly via reduced absorption.

Cite This Study

Torsten Johnsen (2009) studied this question.

synapsesocial.com/papers/6a86831d936348eb8dcc6cbchttps://doi.org/10.1111/j.1600-0404.1977.tb01458.x
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acetazolamide Treatment of Hypokalemic Periodic Paralysis1970 · 133 citations
  2. 2The Effect of Acidosis in Hypokalemic Periodic Paralysis1976 · 23 citations
  3. 3FAMILIAL PERIODIC PARALYSIS1956 · 79 citations
  4. 4A STUDY OF INSULIN RECEPTORS IN HUMAN MONONUCLEAR LEUCOCYTES1976 · 24 citations