Abstract

Thyrotoxic periodic paralysis is a rare cause of acute paralysis in the emergency department (ED). The disorder is generally thought to be due to acute hypokalemia leading to paralysis. Treatment is generally targeted at correcting the thyrotoxic state with careful potassium repletion. We present a rare case of normokalemic, thyrotoxic periodic paralysis with acute resolution while in the ED.

Highlights

  • Thyrotoxic periodic paralysis (TPP) is a lesser known cause of intermittent, potentially curable, muscle weakness

  • We present a rare case of normokalemic, thyrotoxic periodic paralysis with acute resolution while in the emergency department (ED). [Clin Pract Cases Emerg Med. 2017;1(2):129–131.]

  • In this paper we present a case of TPP in a patient with a normal potassium level who recovered fully while in the ED

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Summary

Case Report

Normokalemic Thyrotoxic Periodic Paralysis with Acute Resolution in the Emergency Department. Thyrotoxic periodic paralysis is a rare cause of acute paralysis in the emergency department (ED). The disorder is generally thought to be due to acute hypokalemia leading to paralysis. Treatment is generally targeted at correcting the thyrotoxic state with careful potassium repletion. We present a rare case of normokalemic, thyrotoxic periodic paralysis with acute resolution while in the ED. We present a rare case of normokalemic, thyrotoxic periodic paralysis with acute resolution while in the ED. [Clin Pract Cases Emerg Med. 2017;1(2):129–131.]

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