ISSN:
1432-1238
Keywords:
Hypokalemia
;
Hyperkalemia
;
17-alpha-hydroxylase deficiency
;
Adrenocortical deficiency
;
Quadriplegia
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract We report two cases of ascending muscular weakness progressing to areflexic quadriplegia caused by severe derangement of potassium homeostasis. The first patient presented with a 17-alpha-hydroxylase deficiency and severe hypokalemia. The second case had primary adrenocortical deficiency (Addison's disease) and extreme hyperkalemia. Complete recovery ensued after correction of the metabolic disorder in both cases. The role of potassium in the pathophysiology of neuromuscular excitation is discussed. We conclude that when neuromyopathy is present, metabolic causes should be considered and the serum potassium determined.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00254706
Permalink
