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Book

Hypokalemic Periodic Paralysis

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
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Book

Hypokalemic Periodic Paralysis

Karima Gadalla et al.
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Excerpt

Hypokalemic periodic paralysis (HypoPP) is a rare disorder characterized by episodic severe muscle weakness, often triggered by strenuous exercise or a high-carbohydrate diet. Patients with HypoPP experience a sudden onset of generalized or focal flaccid paralysis associated with low blood serum potassium levels (hypokalemia), which can last for several hours to days.

The majority of HypoPP cases are familial. The familial form of HypoPP is a rare disorder resulting from mutations in either the voltage-gated calcium or sodium ion channels, predominantly affecting skeletal muscle cells. Acquired cases of HypoPP are associated with hyperthyroidism.

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Conflict of interest statement

Disclosure: Karima Gadalla declares no relevant financial relationships with ineligible companies.

Disclosure: Catherine Anastasopoulou declares no relevant financial relationships with ineligible companies.

References

    1. Ptácek LJ, Tawil R, Griggs RC, Engel AG, Layzer RB, Kwieciński H, McManis PG, Santiago L, Moore M, Fouad G. Dihydropyridine receptor mutations cause hypokalemic periodic paralysis. Cell. 1994 Jun 17;77(6):863-8. - PubMed
    1. Matthews E, Fialho D, Tan SV, Venance SL, Cannon SC, Sternberg D, Fontaine B, Amato AA, Barohn RJ, Griggs RC, Hanna MG, CINCH Investigators The non-dystrophic myotonias: molecular pathogenesis, diagnosis and treatment. Brain. 2010 Jan;133(Pt 1):9-22. - PMC - PubMed
    1. Sansone V, Tawil R. Management and treatment of Andersen-Tawil syndrome (ATS). Neurotherapeutics. 2007 Apr;4(2):233-7. - PubMed
    1. Struyk AF, Cannon SC. Paradoxical depolarization of BA2+- treated muscle exposed to low extracellular K+: insights into resting potential abnormalities in hypokalemic paralysis. Muscle Nerve. 2008 Mar;37(3):326-37. - PubMed
    1. Foy BD, Dupont C, Walker PV, Denman K, Engisch KL, Rich MM. Mechanisms underlying the distinct K+ dependencies of periodic paralysis. J Gen Physiol. 2025 May 05;157(3) - PMC - PubMed

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