Lazy lips: hyperkalemia and acute tetraparesis-a case report from an urban emergency department.

Braun, Christian Tasso; Srivastava, David Shiva; Engelhardt, Bianca Maria; Lindner, Gregor; Exadaktylos, Aristomenis (2014). Lazy lips: hyperkalemia and acute tetraparesis-a case report from an urban emergency department. Case reports in emergency medicine, 2014(160396), p. 160396. Hindawi Publishing Corporation 10.1155/2014/160396

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A 58-year-old male patient was admitted to our emergency department at a large university hospital due to acute onset of general weakness. It was reported that the patient was bradycardic at 30/min and felt an increasing weakness of the limbs. At admission to the emergency department, the patient was not feeling any discomfort and denied dyspnoea or pain. The primary examination of the nervous system showed the cerebral nerves II-XII intact, muscle strength of the lower extremities was 4/5, and a minimal sensory loss of the left hemisphere was found. In addition, the patient complained about lazy lips. During ongoing examinations, the patient developed again symptomatic bradycardia, accompanied by complete tetraplegia. The following blood test showed severe hyperkalemia probably induced by use of aldosterone antagonists as the cause of the patient's neurologic symptoms. Hyperkalemia is a rare but treatable cause of acute paralysis that requires immediate treatment. Late diagnosis can delay appropriate treatment leading to cardiac arrhythmias and arrest.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Braun, Christian Tasso; Srivastava, David Shiva and Exadaktylos, Aristomenis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2090-648X

Publisher:

Hindawi Publishing Corporation

Language:

English

Submitter:

Romana Saredi

Date Deposited:

22 Apr 2015 12:19

Last Modified:

26 Jun 2016 02:01

Publisher DOI:

10.1155/2014/160396

PubMed ID:

25525527

BORIS DOI:

10.7892/boris.67021

URI:

https://boris.unibe.ch/id/eprint/67021

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