Author/Authors :
Banavathu, Tejaswee Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Tripathi, Swapnil Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Sukhadiya, Pankaj Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Ahari, Kamlesh Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Shankar Meena, Durga Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India , Kumar Garg, Mahendra Department of Internal Medicine - All India Institute of Medical Sciences, Jodhpur, India
Abstract :
Thyrotoxic periodic paralysis is a rare endocrine emergency that manifests as acute onset muscle weakness
and hypokalaemia secondary to thyrotoxicosis. It mainly occurs due to rapid and dramatic intracellular shift of
potassiumresulting in hypokalaemia and acute flaccid paralysis. This condition predominantly affects males of
Asian descent, and presentation can range from mild generalized weakness to complete quadriplegia, as seen in
our case. We herein report a case of a 40-year-old female, who presented to us with acute onset flaccid quadriplegia
and thyroid storm, which is the first ever manifestation of previously undiagnosed Grave’s disease. Liver
abscess was found to be the underlying trigger for thyrotoxic paralysis and thyroid storm.
Keywords :
Hypokalemic Periodic Paralysis , Thyrotoxicosis , Graves disease , Quadriplegia , Thyroid Crisis
