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Published on: April 5, 2011
Severe hypokalemia as a cause of acute transient paraplegia following electrical shock
R A Dasgupta1, J T Schulz, R C Lee
1Sumner Redstone Burn Center, Surgical Services, Massachusetts General Hospital, Harvard Medical School, Bigelow 1302, Boston 02114, USA.
Abstract:
Transient lower extremity paralysis has been previously reported following high voltage electrical injury. The following case report describes an unusual presentation of transient acute flaccid lower extremity paralysis following a high voltage electrical injury associated with profound hypokalemia and acid/base abnormalities similar to the periodic paralysis syndrome. The patient's symptoms resolved with correction of severe hypokalemia. Potential mechanisms for a metabolic neuromuscular disorder induced by electrical injury are proposed.
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