• Am J Emerg Med · Aug 2022

    Review Case Reports

    Stroke-mimicking unilateral hypokalemic paralysis: A case report and literature review.

    • Xiaoxia Liu, Kun Han, and Xiaoxiong Lu.
    • Department of Neurology, Hwa Mei Hospital, University of Chinese Academy of Science, Ningbo, Zhejiang 315010, PR China.
    • Am J Emerg Med. 2022 Aug 1; 58: 349.e1-349.e3.

    AbstractUnilateral paralysis is an alarming symptom with broad differential diagnoses, including stroke, Todd's paralysis, myelopathy, and peripheral neuropathy. Hypokalemic paralysis (HP), a neuromuscular disorder associated with muscle dysfunction, is caused by hypokalemia and manifests as symmetric proximal extremity muscle weakness. Unilateral paralysis has rarely been reported in the literature. Once hypokalemia is corrected, HP is usually reversible. Delayed diagnosis and treatment may result in fatal consequences. Here, we report an atypical case of unilateral weakness along with a review of the literature on unilateral HP.Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.

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