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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer Hyopkelemic Periodic Paralysis. Is Surgery Life Threatening ?

I recently had a glucose intolerance test at my neurologist , who claims to know little about hyopkelemic perodic paralysis . After the 3 hour test, I went into a full episode of paralysis lasting 5 hours in his office. I did have a low potassium level the last time they cheched my blood (4), although he says it is not low enought to diagnose me. I am now 53, and have with years of frustration thinking I was not able to walk because I had fibromyalgia for 25 year. My family can trace back episode from when I was a young child. My brother has symptoms and also my son. I simple do not know where to look for help in the Memphis, TN area. I have been working to find answers for 4 years as I get shuffled around so that the Drs may make their 20 patient a day goal. I have had some results with a caring ENT that will not perform sinus surgery on me until I am under a Dr s care. He said surgery for me could be life threading at this point. Any guidance in the mid south or mid west for an appropriate Dr would be appreciated
Wed, 24 Jul 2013
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Neurologist 's  Response
Hi,

Based on details you have hypokalemic periodic paralysis with positive family history .This indicates primary hypokalemic periodic paralysis ( gene defect for channels located at skeltal muscle) rather than secondary causes .

Still you need detail evaluation like calcium, magnesium levels in blood,thyroid profile and Arterial blood gases and assessment of kidney function in addition to serum potassium.You require specific tests like CPK and EMG also

Hypokalemc paralysis worsens with high carbohydrate diet and heavy exercises.

Yes you can go ahead for surgery after correction of potassium and you may require acetazolamide also. Discuss with treating neurologist regarding aforementioned pal.

I hope this will help you

Regards
Dr Sandhya Manorenj
Neurologist
Hyderabad , India
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Suffer Hyopkelemic Periodic Paralysis. Is Surgery Life Threatening ?

Hi, Based on details you have hypokalemic periodic paralysis with positive family history .This indicates primary hypokalemic periodic paralysis ( gene defect for channels located at skeltal muscle) rather than secondary causes . Still you need detail evaluation like calcium, magnesium levels in blood,thyroid profile and Arterial blood gases and assessment of kidney function in addition to serum potassium.You require specific tests like CPK and EMG also Hypokalemc paralysis worsens with high carbohydrate diet and heavy exercises. Yes you can go ahead for surgery after correction of potassium and you may require acetazolamide also. Discuss with treating neurologist regarding aforementioned pal. I hope this will help you Regards Dr Sandhya Manorenj Neurologist Hyderabad , India