Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic Paralysis

Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic Paralysis

Thyrotoxic hypokalemic periodic paralysis (THPP) is a condition that results in transient skeletal muscle paralysis secondary to intracellular potassium sequestration. Susceptible individuals often have an underlying channelopathy, which may be exacerbated by lifestyle factors or underlying medical...

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Main Authors: Michael Lajeunesse, Scott Young
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-02-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/5td2r4d5
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spelling doaj-5c1b9b378ef8412da7568ea9cd1df59e2020-11-25T02:41:49ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-02-014110.5811/cpcem.2019.11.44966cpcem-04-75Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic ParalysisMichael LajeunesseScott YoungThyrotoxic hypokalemic periodic paralysis (THPP) is a condition that results in transient skeletal muscle paralysis secondary to intracellular potassium sequestration. Susceptible individuals often have an underlying channelopathy, which may be exacerbated by lifestyle factors or underlying medical comorbidities such as hyperthyroidism or diarrheal illness. Classically, THPP presents with paralysis of proximal extremity musculature. In this case, we present a rare case of unilateral THPP. Such a presentation is relevant to emergency physicians as it mimics a stroke or transient ischemic attack and should be considered on the differential for unilateral neurologic deficits.https://escholarship.org/uc/item/5td2r4d5
collection DOAJ
language English
format Article
sources DOAJ
author Michael Lajeunesse
Scott Young
spellingShingle Michael Lajeunesse
Scott Young
Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic Paralysis
Clinical Practice and Cases in Emergency Medicine
author_facet Michael Lajeunesse
Scott Young
author_sort Michael Lajeunesse
title Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic Paralysis
title_short Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic Paralysis
title_full Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic Paralysis
title_fullStr Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic Paralysis
title_full_unstemmed Stroke Mimic: A Case of Unilateral Thyrotoxic Hypokalemic Periodic Paralysis
title_sort stroke mimic: a case of unilateral thyrotoxic hypokalemic periodic paralysis
publisher eScholarship Publishing, University of California
series Clinical Practice and Cases in Emergency Medicine
issn 2474-252X
publishDate 2020-02-01
description Thyrotoxic hypokalemic periodic paralysis (THPP) is a condition that results in transient skeletal muscle paralysis secondary to intracellular potassium sequestration. Susceptible individuals often have an underlying channelopathy, which may be exacerbated by lifestyle factors or underlying medical comorbidities such as hyperthyroidism or diarrheal illness. Classically, THPP presents with paralysis of proximal extremity musculature. In this case, we present a rare case of unilateral THPP. Such a presentation is relevant to emergency physicians as it mimics a stroke or transient ischemic attack and should be considered on the differential for unilateral neurologic deficits.
url https://escholarship.org/uc/item/5td2r4d5
work_keys_str_mv AT michaellajeunesse strokemimicacaseofunilateralthyrotoxichypokalemicperiodicparalysis
AT scottyoung strokemimicacaseofunilateralthyrotoxichypokalemicperiodicparalysis
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