Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 Oct;17(Suppl 1):S234-6.
doi: 10.4103/2230-8210.119582.

An unusual case of episodic quadriparesis

Mukut Roy  1 , Pranab Kumar Sahana, Nilanjan Sengupta, Chanchal Das, Ranen Dasgupta
Affiliations
Case Reports

An unusual case of episodic quadriparesis

Mukut Roy et al. Indian J Endocrinol Metab. 2013 Oct.

Abstract

The natural history of untreated asymptomatic primary hyperparathyroidism (PHPT) remains incompletely understood. Increased level of parathyroid hormone produces the characteristic biochemical phenotype of hypercalcemia, hypophosphatemia and the various clinical sequelae of chronic hypercalcemia. Periodic paralysis (PP) is a group of disorders of different etiologies with episodic, short-lived and hyporeflexic skeletal muscle weakness, with or without myotonia, but without sensory deficit and without loss of consciousness. However, PHPT has rare association with episodic quadriparesis mimicking as PP.

Keywords: Hypercalcemia; periodic paralysis; primary hyperparathyroidism; quadriparesis.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
99mTc sestamibi scan findings were consistent with the absence of hyperplastic parathyroid activity
Figure 2
Figure 2
Computed tomography neck showing enlarged the right parathyroid gland (0.77 cm × 0.71 cm × 1.4 cm)
Figure 3
Figure 3
Computed tomography neck showing enlarged left parathyroid gland (0.65 cm × 0.63 cm × 1.5 cm)
See this image and copyright information in PMC

References

    1. Argov Z, Melamed E, Katz S. Hyperparathyroidism presenting with unusual neurological features. Eur Neurol. 1979;18:338–40. - PubMed
    1. Chan AK, Duh QY, Katz MH, Siperstein AE, Clark OH. Clinical manifestations of primary hyperparathyroidism before and after parathyroidectomy. A case-control study. Ann Surg. 1995;222:402–12. - PMC - PubMed
    1. Bagga A, Dutta S. Hypokalemic muscle paralysis. Indian Pediatr. 1994;31:1297–8. - PubMed
    1. Patten BM, Pages M. Severe neurological disease associated with hyperparathyroidism. Ann Neurol. 1984;15:453–6. - PubMed
    1. Verges B, Wechsler B, Brunet P, Robin PM, Chigot JP, Godeau P. Neuromuscular forms of hyperparathyroidism. Apropos of 2 cases. Ann Med Interne (Paris) 1988;139:254–7. - PubMed

Publication types