Sporadic adult-onset brainstem hyperkalemic periodic paralysis masquerading as recurrent transient ischemic attacks.

散发性成人发作的脑干高钾血症性周期性麻痹伪装成复发性短暂性脑缺血发作。

• 发表时间: Mar 2022
• 来源期刊: Clin Case Rep
• DOI: 10.1002/ccr3.5609
• PMID: 35317066
• 文章类型: Case Reports
• 作者列表: Liang KMA,Liang BC,Liang KMA,Liang BC

关键词: adult‐onset; brainstem muscle weakness; hyperkalemic; periodic paralysis; recurrent transient ischemic attacks; sporadic; adult‐onset; brainstem muscle weakness; hyperkalemic; periodic paralysis; recurrent transient ischemic attacks; sporadic

Abstract

We report a case of adult-onset, sporadic, hyperkalemic periodic paralysis with primary brainstem musculature symptoms masquerading as recurrent transient ischemic attacks. Unilateral brainstem weakness could be induced with rapid eye blinking, which was followed by lower extremity weakness and cramping. Treatment with acetazolamide and albuterol ameliorated the patient\'s attacks.

摘要

我们报告一例成人发病,零星的,伴有原发性脑干肌肉组织症状的高钾性周期性麻痹假扮为复发性短暂性脑缺血发作。单侧脑干无力可诱发快速眨眼，其次是下肢无力和抽筋。乙酰唑胺和沙丁胺醇治疗改善了患者的发作。