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Thyrotoxic Periodic Paralysis, an Unusual Presentation of Paralysis After Spinal Surgery: A Case Report – Lumbar Spinal Stenosis

The article discusses a case of thyrotoxic periodic paralysis (TPP) in a patient who experienced paralysis post-lumbar laminectomy surgery. The patient also presented with shortness of breath and arrhythmia, initially thought to be due to nerve compression. However, severe hypokalemia was identified as the underlying cause, with suppressed thyroid stimulating hormone (TSH) indicating TPP. The patient was treated with oral potassium supplements, antithyroid drugs, and eventually underwent a total thyroidectomy. The report highlights the epidemiology, presentation, treatment, and complications of this rare complication of hyperthyroidism

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Thyrotoxic periodic paralysis (TPP) is a rare complication of hyperthyroidism, seen predominantly in men of Asian origin. We report an unusual presentation of paralysis post-lumbar laminectomy surgery, associated with shortness of breath and arrhythmia. The patient was initially thought to have nerve compression as a complication of surgery but was found to have severe hypokalemia, which responded to intravenous potassium supplements. Additional tests identified suppressed thyroid stimulating…

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Cureus. 2024 Mar 8;16(3):e55822. doi: 10.7759/cureus.55822. eCollection 2024 Mar. ABSTRACT Thyrotoxic periodic paralysis (TPP) is a rare complication of hyperthyroidism, seen predominantly in men of Asian origin. We report an unusual presentation of paralysis post-lumbar laminectomy surgery, associated with shortness of breath and arrhythmia. The patient was initially thought to have nerve compression as a,

Cureus. 2024 Mar 8;16(3):e55822. doi: 10.7759/cureus.55822. eCollection 2024 Mar.

ABSTRACT

Thyrotoxic periodic paralysis (TPP) is a rare complication of hyperthyroidism, seen predominantly in men of Asian origin. We report an unusual presentation of paralysis post-lumbar laminectomy surgery, associated with shortness of breath and arrhythmia. The patient was initially thought to have nerve compression as a complication of surgery but was found to have severe hypokalemia, which responded to intravenous potassium supplements. Additional tests identified suppressed thyroid stimulating hormone (TSH). The patient was diagnosed with thyrotoxic periodic paralysis (TPP), which was treated with oral potassium supplements and antithyroid drugs, followed by a total thyroidectomy. The report discusses the epidemiology, presentation, treatment, and complications of this rare condition.

PMID:38590489 | PMC:PMC10999753 | DOI:10.7759/cureus.55822

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Thyrotoxic Periodic Paralysis, an Unusual Presentation of Paralysis After Spinal Surgery: A Case Report

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Cureus. 2024 Mar 8;16(3):e55822. doi: 10.7759/cureus.55822. eCollection 2024 Mar. ABSTRACT Thyrotoxic periodic paralysis (TPP) is a rare complication of hyperthyroidism, seen predominantly in men of Asian origin. We report an unusual presentation of paralysis post-lumbar laminectomy surgery, associated with shortness of breath and arrhythmia. The patient was initially thought to have nerve compression as a

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