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Updated: Sep 24, 2025

Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
[Muscle weakness in the extremities in a man with Graves' disease]
Lars Fjord Garvey1, Natasha Chidekel Bergmann2, Dorte Worm2
1Medicinsk Afdeling, Københavns Universitetshospital - Amager Hospital.
Abstract:
A 42-year-old man of Chinese descent, known to have Graves' disease, presented with muscle weakness. Neurological examination showed paralysis of the arms and legs, with intact sensory function, while blood-test revealed hypokalaemia and thyrotoxicosis. The neurological symptoms resolved quickly after correction of the serum potassium level. Thyrotoxic periodic paralysis is a rare, reversible complication of hyperthyroidism is characterised by hypokalaemia, hyperthyroidism and paralysis.
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