Title of article :
Case Report: Periodic Drop Thumb, Hypokalemia and Adrenal Adenoma
Author/Authors :
Chui, Chi Paochien Hospital - Department of Neurosurgery, Taiwan , Chen, Wei-Hsi Chang Gung University - College of Medicine, Kaohsiung Chang Gung Memorial Hospital - Department of Neurology, Taiwan , Yin, Hsin-Ling Kaohsiung Medical University - Faculty of Forensic Medicine, College of Medicine - Department of Pathology, Taiwan
Abstract :
Objective: To report an unusual involvement of focal distal muscles but not proximal muscles in a patient with hypokalemic periodic paralysis (hypoPP). Clinical Presentation and Intervention: A middle-aged woman presented with episodic weakness of the bilateral thumbs lasting for 2 years. Hypokalemia and a left adrenal mass were subsequently found. Her weakness subsided after surgical removal of the adrenal mass, which was pathologically proven to be an adrenal adenoma. Conclusion: The findings for this patient should alert physicians to consider focal distal motor paresis due to hypoPP. A preexisting occult trauma may predispose to paralysis at an atypical location in secondary hypoPP.
Keywords :
Thumb , Hypokalemia , Periodic paralysis , Adrenal adenoma , Weakness
Journal title :
Medical Principles and Practice
Journal title :
Medical Principles and Practice
