Hypokalemic Periodic Paralysis

Hypokalemic Periodic ParalysisExperimental Precipitation With Sodium Liothyronine

THE PATIENT with hypokalemic periodic paralysis associated with hyperthyroidism (thyrotoxic periodic paralysis) is freed from further attacks of paralysis when the hyperthyroidism is adequately treated.1,2 Relapses of hyperthyroidism have been accompanied by reappearance of periodic paralysis.3-5 Devices which trigger paralytic attacks, such as large carbohydrate meals, glucose infusion, insulin, and epinephrine, are only effective when the patient is hyperthyroid. Once he becomes euthyroid these devices no longer work.

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