Volume 26, Issue 130, December 2022

Thyrotoxic periodic paralysis associated with Grave disease: An unusual presentation with weakness

Gajanan Nandkumar Umalkar^1♦, Rajeshwari Vhora², Gajanan Chavan³, Vaishnavi Kantode⁴, Mayur Wanjari⁵

¹Junior Resident, Department of Emergency Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
²H.O.D., Department of Emergency Medicine BJ Medical College and Sion Hospital, Pune, India
³H.O.D., Department of Emergency Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
⁴Department of Medical Surgical Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
⁵Department of Research and Development, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India

^♦Corresponding author
Junior Resident, Department of Emergency Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India

ABSTRACT

Acute quadriplegia is an emergency frequently encountered in clinical practice. Localization of acute quadriplegia ranges from the neuromuscular junction, peripheral nerves, anterior horn cells and central nervous system and electrolyte disturbances. Here we present a case of 48 years old male with a known case of grave disease with thyroid ophthalmopathy. On admission patient has been treated with medical management, on medical management patient methylprednisolone 500 mg in 500 ml of normal saline and was admitted under observation of physician in critical care I.C.U. After gone through medical management patient prognosis was good and advice for the regular follow up

Keywords: Hyperthyroidism, Thyrotoxic Periodic Paralysis (T.P.P.), Weakness, Thyrotoxicosis

Medical Science, 2022, 26, ms513e2549

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DOI: https://doi.org/10.54905/disssi/v26i130/ms513e2549

Published: 08 December 2022