Key result
Administration of antihyperkalemic measures led to a dramatic improvement in symptoms of acute flaccid quadriparesis in a patient with drug-induced hyperkalemia.
Case Report (n=1)
Hyperkalemic paralysis is a completely reversible emergency condition that should be considered in patients presenting with acute onset flaccid paralysis, particularly those on potassium-sparing diuretics.
Prompts hyperkalemia evaluation in acute flaccid paralysis; leaves open need for prospective validation.
Hyperkalemia is a life-threatening dyselectrolytemia that commonly affects cardiac conductivity and contractility. Ascending paralysis affecting the extremities associated with hyperkalemia is not commonly seen. Here we report a case of flaccid quadriparesis in a patient who was taking potassium sparing diuretic for cardiac disease. An electrocardiogram showed typical signs of hyperkalemia. The patient was administered antihyperkalemic measures, which led to a dramatic improvement in symptoms. Hyperkalemic paralysis is a completely reversible emergency condition and should always be considered when dealing with acute onset flaccid paralysis.
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Narayanan et al. (2018) conducted a case report in Drug-induced hyperkalemia presenting as acute flaccid quadriparesis (n=1). Antihyperkalemic measures was evaluated on Improvement in symptoms. Administration of antihyperkalemic measures led to a dramatic improvement in symptoms of acute flaccid quadriparesis in a patient with drug-induced hyperkalemia.
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