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Case Reports
. 2012:2012:243501.
doi: 10.1155/2012/243501. Epub 2012 May 13.

Hyperkalemic recurrent bilateral lower extremity weakness in a patient on hemodialysis

Getaw Worku Hassen  1 , Suzanne Newstead, Lorraine Maria Giordano
Affiliations
Case Reports

Hyperkalemic recurrent bilateral lower extremity weakness in a patient on hemodialysis

Getaw Worku Hassen et al. Case Rep Emerg Med. 2012.

Abstract

Hyperkalemia is a severe life-threatening electrolyte disorder that commonly affects the cardiac conductivity and contractility. Ascending paralysis affecting the extremities with focal neurological deficit as well as quadriparesis and a seizure associated with hyperkalemia has been reported in the literature. Here, we describe a case of isolated recurrent lower extremity paralysis and an episode of seizure in an 83-year-old patient with end-stage renal disease on hemodialysis.

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Figures

Figure 1
Figure 1
ECG changes during the hyperkalemic event, after treatment and a comparative old ECG. (a) Old ECG from March 2007; (b) peaked T-waves (arrows) in the setting of acute hyperkalemia; (c) improved EKG after treatment.
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