Back to Search
Start Over
Hyperkalaemic periodic paralysis in pregnancy.
- Source :
-
BMJ case reports [BMJ Case Rep] 2018 Jun 04; Vol. 2018. Date of Electronic Publication: 2018 Jun 04. - Publication Year :
- 2018
-
Abstract
- Hyperkalaemic periodic paralysis is a rare skeletal muscle disorder which is characterised by episodic muscle paralysis associated with hyperkalaemia. Although it is an autosomal-dominant disease, cases of de novo mutations have been reported. We report the case of a 30-year-old woman, gravida 5 para 3+1, who was planned for an elective repeated caesarean section at 38 weeks and 3 days of pregnancy. She developed recurrent episodes of hyperkalaemic periodic paralysis after receiving corticosteroids. Intravenous calcium gluconate was administered to normalise potassium levels (from 6.3 mmol/L to 4.1 mmol/L). Extra anaesthetic precautions were taken during the caesarean delivery. Postoperatively, she was well and discharged from the ward. She encountered similar symptoms in her third pregnancy, and there was no family history of muscle weakness which suggested a de novo mutation. Pregnancy seemed to result in vulnerability to hyperkalaemic attacks as she was never symptomatic outside pregnancy.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Subjects :
- Adrenal Cortex Hormones therapeutic use
Adult
Calcium Gluconate therapeutic use
Cesarean Section methods
Elective Surgical Procedures
Female
Humans
Paralysis, Hyperkalemic Periodic drug therapy
Paralysis, Hyperkalemic Periodic metabolism
Pregnancy
Pregnancy Complications drug therapy
Pregnancy Complications metabolism
Paralysis, Hyperkalemic Periodic diagnosis
Pregnancy Complications diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 2018
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 29866669
- Full Text :
- https://doi.org/10.1136/bcr-2017-223588