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An atypical case of periodic paralysis

Department of Medicine, Kasturba Medical College, Mangalore 575 001, India

Correspondence to:
Correspondence to:
Dr Mohammed;
ismohammed@hotmail.com

Submitted 14 March 2001
Accepted 23 April 2001

Keywords: thyrotoxicosis; periodic paralysis

A 38 year old man presented with a history of episodic lower limb weakness lasting a few hours. The weakness was predominantly proximal and was preceded by cramps in the affected muscles. There were two such attacks separated by a one month period. He was perfectly normal in between the episodes. The weakness was unrelated to exertion or meals. The upper limbs, eyes, face, tongue, pharynx, larynx, diaphragm, and sphincters were spared. There were no sensory abnormalities. He did not have vomiting or diarrhoea, nor was he on any medication. He had had no major illness in the past. No other family member had a similar illness. His appetite was good and there was no change in his weight in recent years. His sleep was normal, so were his bowel and bladder habits. He did not have any addictions. On physical examination, the patient was afebrile and nervous. He . . . [Full text of this article]