Primary Hyperaldosteronism is An Unusual Cause of Periodic Paralysis: A Case Report

Authors

  • Aminur Rahman Associate Professor & Head, Department of Neurology, Sir Salimullah Medical College, Dhaka-1100, Bangladesh
  • Md Alamgir Hossain Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Shahjada Mohammad Dastegir Khan Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Biplab Paul Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Pallab Kanti Saha Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Ajay Kumar Agarwalla Assistant Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Mahbubul Hakim Mishu Resident, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Sanghita Banik Proma Post-graduation Trainee, Department of Medicine, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh
  • Sams Arefin FCPS (Neurology Trainee), Department of Medicine, Sir Salimullah Medical College Mitford Hospital, Dhaka
  • Furial Quraishi Twinkle Trainee, Anwer Khan Modern Medical College Hospital, Dhaka, Bangladesh.
  • Tofael Ahmed Assistant Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh

DOI:

https://doi.org/10.3329/bjm.v35i1.70737

Keywords:

Primary hyperaldosteronism, Conn's syndrome, Periodic Paralysis. Hypokalemic periodic paralysis

Abstract

Primary hyperaldosteronism a synonym for Conn's syndrome is characterized by hypernatremia, arterial hypertension, and, in certain situations, potentially fatal hypokalemia. A rare class of neuromuscular disorders known as periodic paralysis (PP) is brought on by an affection of the skeletal muscle's ion channels. In patients with hypokalaemic PP, potassium levels are normal in between attacks, but they remain low in those with secondary hypokalaemic PP. Although secondary causes of PP have been documented in the literature, the majority of cases are hereditary. We report the case of a 46-year-old man who had a history of hypertension and was admitted to the neurology ward after experiencing sudden-onset weakness in all four limbs, primarily affecting the lower limbs, two days earlier. This present case demonstrates a peculiar and severe primary hyperaldosteronism manifested by PP.

Bangladesh J Medicine 2024; 35(1): 42-46

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Published

2024-01-04

How to Cite

Rahman, A., Hossain, M. A. ., Dastegir Khan, S. M. ., Paul, B. ., Saha, P. K. ., Agarwalla, A. K., Mishu, M. H. ., Proma, S. B. ., Arefin, S., Twinkle, F. Q., & Ahmed, T. (2024). Primary Hyperaldosteronism is An Unusual Cause of Periodic Paralysis: A Case Report. Bangladesh Journal of Medicine, 35(1), 42–46. https://doi.org/10.3329/bjm.v35i1.70737

Issue

Section

Case Reports