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Revista Ecuatoriana de Neurología
versión On-line ISSN 2631-2581versión impresa ISSN 1019-8113
Resumen
AROSEMENA, Marilyn; BALDA, Javier y SANCHEZ-ARMIJOS, Julizza. Thyrotoxic Hypokalemic Periodic Paralysis a Neuroendocrine emergency: Review article. Rev Ecuat Neurol [online]. 2020, vol.29, n.3, pp.92-96. ISSN 2631-2581. https://doi.org/10.46997/revecuatneurol2930092.
Thyrotoxic Periodic Paralysis (TPP) is a neuroendocrine emergency and although rare should be part of the differential diagnosis of weakness in a patient presenting with hyperthyroidism. It is usually triggered by high carbohydrate diet, trauma, exposure to cold or strenuous exercise. Most of the cases occur in 20 - 30 year-old Asian males. Diagnosis is clinical with the triad of flaccid paralysis, signs of thyrotoxicosis and hypokalemia. Treatment consist on electrolyte repletion, thionamides and beta blockers. The importance of recognizing the association between hyperthyroidism and hypokalemic paralysis is vital as with successful treatment of hyperthyroidism paralysis resolves.
Palabras clave : Thyrotoxic periodic paralysis; hyperthyroidism; Hypokalemic paralysis.