Acute Ascending Flaccid Paralysis Secondary to Multiple Trigger Factor Induced Hyperkalemia

Case Reports in Neurological Medicine
K H D Thilini HemachandraThamara Kannangara

Abstract

Acute flaccid paralysis is an uncommon, but potentially life threatening, sequel of severe hyperkalemia. Reported primary aetiologies include renal failure, Addison's disease, potassium sparing diuretics, potassium supplements, and dietary excess. Coconut water, when consumed in excess, has been reported to cause severe hyperkalemia. We report the case of acute ascending flaccid paralysis secondary to hyperkalemia induced by multiple trigger factors-king coconut water, renal failure, diabetes, metabolic acidosis, and potassium sparing diuretics. A 78-year-old man presented with acute ascending type flaccid paralysis over five-hour duration and subsequently developed preterminal cardiac arrhythmias secondary to severe hyperkalemia (serum potassium: 7.02 mEq/L). He was on Losartan and Spironolactone for ischemic heart disease. Dietary history revealed excessive intake of king coconut water (Cocos nucifera) over past one week. Electrocardiogram returned to normal rhythm and serum potassium was 6.1 mEq/L within 2 hours of institution of emergency management for life threatening hyperkalemia. Neurological symptoms completely recovered within twenty-four hours without the need for dialysis. Electromyogram three days after the initial...Continue Reading

References

Nov 3, 1979·Lancet·I R Livingstone, W J Cumming
Apr 1, 1989·Postgraduate Medical Journal·J M Sowden, D Q Borsey
May 1, 1985·Journal of Neurology, Neurosurgery, and Psychiatry·H ShinotohJ Suzuki
Jul 24, 1971·British Medical Journal·V SitprijaC Benyajati
Sep 1, 1980·Journal of Neurology, Neurosurgery, and Psychiatry·J J VilchezT Villarroya
Nov 1, 1994·Journal of Neurology, Neurosurgery, and Psychiatry·M NaumannC Schneider
Dec 31, 1997·The American Journal of the Medical Sciences·C EffiongJ Mattana
Mar 7, 1998·Journal of Neurology, Neurosurgery, and Psychiatry·S EversM Hund
Feb 13, 2001·Postgraduate Medical Journal·D DuttaA McClung
May 23, 2002·Brain : a Journal of Neurology·Matthew C KiernanHugh Bostock
Nov 30, 2002·Lancet·Eric MauryGeorges Offenstadt
Jan 6, 2005·Clinical Nephrology·C EspositoA Dal Canton
Oct 2, 2009·Pharmacotherapy·Nikita S WilsonChristopher K Finch
Nov 6, 2012·British Journal of Hospital Medicine·Richard ReesMarc George
Jan 26, 2013·Annals of Indian Academy of Neurology·Karkal R NaikMallikarjun S Khanpet
Jan 1, 2011·Journal of Community Hospital Internal Medicine Perspectives·Yelena MushiyakhDavid Tompkins
Feb 20, 2014·Circulation. Arrhythmia and Electrophysiology·Justin HakimianTodd C Kerwin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Addison Disease

Addison's disease, also known as primary adrenal insufficiency and hypocortisolism, is a long-term endocrine disorder in which the adrenal glands do not produce enough steroid hormones. Discover the latest research on Addison's disease here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Related Papers

Mayo Clinic Proceedings
R G Van Dellen, D C Purnell
Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Govarthanan RajendiranAshwin Kumar Mani
© 2022 Meta ULC. All rights reserved