An unusual stroke mimic: A case report

Autor: Prosper Adjei, Gordon M Amponsah, Michael Atenebano
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: SAGE Open Medical Case Reports, Vol 11 (2023)
Druh dokumentu: article
ISSN: 2050-313X
2050313X
DOI: 10.1177/2050313X231209686
Popis: Hypokalaemic paralysis is a rare disorder characterized by rapid onset of symmetrical flaccid skeletal muscle weakness in the presence of reduced serum potassium levels. It is categorized as primary or secondary depending on the aetiology. Asymmetric or unilateral muscle weakness in hypokalaemic patients is a rare presentation. In patients with comorbid cardiovascular risk factors, this atypical manifestation can mimic acute stroke. Only a few of such cases have been reported in the literature. This report discusses the case of a 46-year-old hypertensive Ghanaian woman who presented to a District Hospital with sudden-onset right-sided flaccid weakness and a high blood pressure. Acute stroke was ruled out with computed tomography scan of the brain. Further laboratory evaluation demonstrated reduced serum potassium level, which was corrected with subsequent dramatic resolution of the muscle weakness.
Databáze: Directory of Open Access Journals