An unusual diagnostic of quadriparesia: hyperkalemic paralysis. Report of four non-familial cases

Autor(es): Desport E,Leroy J,Nanadoumgar H,Chatellier D,Robert R


Resumo: The classical cause of hyperkalemic paralysis is the hereditary hyperkalemic paralysis. Very rarely, secondary forms of hyperkalemic paralysis have been reported. Four cases of acute paralysis mimicking Guillain-Barre syndrome in three cases and revealing severe hyperkalemia are presented. All the four patients had moderate chronic renal insufficiency. In two cases, the patients received spironolactone. One case was associated with lysis syndrome. All the 4 cases dramatically improved with the treatment of hyperkalemia. These cases pointed out the possibility for acute peripheral paralysis to reveal severe hyperkalemia.


Palavras-Chave: Hyperkaliemia; Latrogenic disease; Tetraparesis; Dialysis


Imprenta: La Revue de Me?decine Interne / Fonde?e ... Par La Socie?te? Nationale Francaise de Me?decine Interne, v. 27, n. 2, p. 148-151, 2006


Identificador do objeto digital: 10.1016/j.revmed.2005.10.008


Descritores: Guillain-Barre Syndrome - Pathogenesis


Data de publicação: 2006