Throtoxic Periodic Paralysis without Hypokalemia

저칼륨증 없이 나타난 갑상샘중독주기마비 1예

  • Kim, Hyeyun (Department of Neurology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Kim, Sung-Min (Department of Neurology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Park, Jong-Ho (Department of Neurology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Cho, Joong-Yang (Department of Neurology, Inje University Ilsan Paik Hospital)
  • 김혜윤 (관동대학교 의과대학 신경과학교실) ;
  • 김성민 (관동대학교 의과대학 신경과학교실) ;
  • 박종호 (관동대학교 의과대학 신경과학교실) ;
  • 조중양 (인제대학교 의과대학 신경과학교실)
  • Received : 2008.06.30
  • Accepted : 2008.11.10
  • Published : 2008.12.31

Abstract

Thyrotoxic periodic paralysis (PP) is the most common acquired form of PP in Asian populations, and its cardinal and biochemical abnormality is hypokalemia. We describe a 39-year-old man who had acute bilateral limb motor weakness and paresthesia, and showed normokalemia during attack. Thyroid studies showed subclinical thyrotoxic Goiter. Control of the hyperthyroidism nearly eliminated his PP. Regardless of normokalemia, our patient might be a case of hypokalemic PP because of improvement from anti-thyroid medication.

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