Display options
Cite
Kulkarni M, Tv S, Gopal N. Hypokalemic paraplegia in pregnancy. J Clin Diagn Res. 2014;8(6):OD03-4doi: 10.7860/JCDR/2014/8793.4433.
Kulkarni, M., Tv, S., & Gopal, N. (2014). Hypokalemic paraplegia in pregnancy. Journal of clinical and diagnostic research : JCDR, 8(6), OD03-4. https://doi.org/10.7860/JCDR/2014/8793.4433
Kulkarni, Maitri, et al. "Hypokalemic paraplegia in pregnancy." Journal of clinical and diagnostic research : JCDR vol. 8,6 (2014): OD03-4. doi: https://doi.org/10.7860/JCDR/2014/8793.4433
Kulkarni M, Tv S, Gopal N. Hypokalemic paraplegia in pregnancy. J Clin Diagn Res. 2014 Jun;8(6):OD03-4. doi: 10.7860/JCDR/2014/8793.4433. Epub 2014 Jun 20. PMID: 25121034; PMCID: PMC4129316.
Copy Download .nbib Format: NLM
Share it on

J Clin Diagn Res. 2014 Jun;8(6):OD03-4. doi: 10.7860/JCDR/2014/8793.4433. Epub 2014 Jun 20.

Hypokalemic paraplegia in pregnancy.

Journal of clinical and diagnostic research : JCDR

Maitri Kulkarni, Srividya Tv, N Gopal

Affiliations

  1. Assistant Professor, Department of Obstetrics and Gynaecology, Adichunchanagiri Institute of Medical Sciences , India .
  2. Professor, Department of Obstetrics and Gynaecology, Adichunchanagiri Institute of Medical Sciences , India .

PMID: 25121034 PMCID: PMC4129316 DOI: 10.7860/JCDR/2014/8793.4433

Abstract

Hypokalemic myopathy may range from numbness/weakness to complete paralysis. The aetiology may be congenital or acquired. It is characterized by acute muscular weakness with low levels of potassium (<3.5 meq/L). We present a case of 26-year-old multigravida at 36 weeks of gestation with gestational hypertension on treatment, who came with acute onset of pain, numbness and weakness of both legs which worsened following betamethasone injection. She was diagnosed to have Hypokalemic paralysis with potassium levels of 2.1 meq/L. The medical profile remitted promptly on intravenous potassium replacement. Pregnancy was continued till 37 weeks with oral potassium supplements, antihypertensives and regular monitoring of serum potassium levels. The pregnancy was terminated after 37 weeks in view of gestational hypertension. Postpartum period was uneventful, patient was discharged after two weeks when potassium levels and BP returned to normal.

Keywords: Hypokalemia; Myopathy; Paralysis; Pregnancy

References

  1. Gynecol Obstet Invest. 2007;63(1):39-44 - PubMed
  2. Obstet Gynecol. 2000 Jun;95(6 Pt 2):1037 - PubMed
  3. Obstet Gynecol. 2011 Feb;117(2 Pt 2):433-435 - PubMed
  4. Neurol Clin. 2012 Aug;30(3):889-911 - PubMed
  5. J Assoc Physicians India. 2002 Oct;50:1327-8 - PubMed
  6. Ginecol Obstet Mex. 2009 Dec;77(12):589-96 - PubMed
  7. Aust N Z J Obstet Gynaecol. 1983 May;23(2):117-9 - PubMed
  8. J Matern Fetal Med. 1997 Jan-Feb;6(1):16-20 - PubMed
  9. J Gynecol Obstet Biol Reprod (Paris). 2007 Oct;36(6):607-10 - PubMed
  10. J Transl Med. 2008 Apr 21;6:18 - PubMed
  11. Obstet Gynecol. 2003 Nov;102(5 Pt 2):1169-71 - PubMed

Publication Types