Severe hypokalaemic paralysis from an unusual cause mimicking the Guillain-Barré syndrome
Autor(es): Valtier B,Mion G,Pham L H,Brochard L
Resumo: We report a case of hypokalaemic quadriparesis occurring 37 years after a bilateral ureterosigmoidostomy. The history and physical signs as well as cerebrospinal fluid analysis initially led to a diagnosis of Guillain-Barré syndrome. Acidosis and profound hypokalaemia were present and a dramatic improvement occurred after rapid correction of the potassium depletion. The underlying mechanism of potassium depletion which occurs after this mode of urinary diversion are briefly discussed.
Palavras-Chave: Hypokalaemia; Quadriparesis; Ureterosigmoidostomy; Guillain-Barre
Imprenta: Intensive Care Medicine, v. 15, n. 8, p. 534-535, 1989
Descritores: Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 1989
