GullianBarre syndrome (GBS) is the most common cause of acute flaccid paralysis.Hypokalemia can present with flaccid paralysis and nerve conduction studies show axonal neuropathy.Here we present two cases who were initially admitted with suspicion of GBS but later on baseline investigations showed very high serumpotassium and in both cases nerve conduction showed acute demyelinating polyneuropathy.They were admitted in high dependency units and urgent dialysis was done.In first case NCS were repeated 72 hours of correction of hyperkalemia and they showed significant improvement. In second patient NCSwere repeated after 24 hours and they showed mild improvement in all parameters.
Tariq, waseem and Ahmad,MD, Arsalan
"Two cases of hyperkalemia presenting as acute demyelinating polyneuropathy: clinical and electrophysiological reversibility with in 72 hours with potassium correction.,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 11
, Article 8.
Available at: http://ecommons.aku.edu/pjns/vol11/iss2/8