Acute Ascending Flaccid Paralysis Secondary to Multiple Trigger Factor Induced Hyperkalemia
Joint Authors
Hemachandra, K. H. D. Thilini
Chandimal Dayasiri, M. B. Kavinda
Kannangara, Thamara
Source
Case Reports in Neurological Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Acute flaccid paralysis is an uncommon, but potentially life threatening, sequel of severe hyperkalemia.
Reported primary aetiologies include renal failure, Addison’s disease, potassium sparing diuretics, potassium supplements, and dietary excess.
Coconut water, when consumed in excess, has been reported to cause severe hyperkalemia.
We report the case of acute ascending flaccid paralysis secondary to hyperkalemia induced by multiple trigger factors—king coconut water, renal failure, diabetes, metabolic acidosis, and potassium sparing diuretics.
Case Presentation.
A 78-year-old man presented with acute ascending type flaccid paralysis over five-hour duration and subsequently developed preterminal cardiac arrhythmias secondary to severe hyperkalemia (serum potassium: 7.02 mEq/L).
He was on Losartan and Spironolactone for ischemic heart disease.
Dietary history revealed excessive intake of king coconut water (Cocos nucifera) over past one week.
Electrocardiogram returned to normal rhythm and serum potassium was 6.1 mEq/L within 2 hours of institution of emergency management for life threatening hyperkalemia.
Neurological symptoms completely recovered within twenty-four hours without the need for dialysis.
Electromyogram three days after the initial presentation revealed normal findings.
Conclusions.
The report describes a rare case of secondary hyperkalemic flaccid paralysis induced by multiple trigger factors.
It is important that patients with risk factors for hyperkalemia are educated regarding avoiding excess dietary potassium.
Regular follow-up of these patients is mandatory with review of medication related side effects and serum electrolytes.
American Psychological Association (APA)
Hemachandra, K. H. D. Thilini& Chandimal Dayasiri, M. B. Kavinda& Kannangara, Thamara. 2018. Acute Ascending Flaccid Paralysis Secondary to Multiple Trigger Factor Induced Hyperkalemia. Case Reports in Neurological Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145448
Modern Language Association (MLA)
Hemachandra, K. H. D. Thilini…[et al.]. Acute Ascending Flaccid Paralysis Secondary to Multiple Trigger Factor Induced Hyperkalemia. Case Reports in Neurological Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145448
American Medical Association (AMA)
Hemachandra, K. H. D. Thilini& Chandimal Dayasiri, M. B. Kavinda& Kannangara, Thamara. Acute Ascending Flaccid Paralysis Secondary to Multiple Trigger Factor Induced Hyperkalemia. Case Reports in Neurological Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145448
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145448