30 Apr Primary Periodic Paralysis (modified from Jurkat-Rott and Lehmann-Horn) . A small proportion of hypokalemic periodic paralysis cases are. Periodic paralysis (PP) is classified as hypokalemic when episodes occur in association with low potassium blood levels or as hyperkalemic when episodes can. Hypokalemic periodic paralysis (hypoKPP) is a rare, autosomal dominant channelopathy characterized by muscle weakness or paralysis when there is a fall in.

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Calcium channel mutations cause a loss of function manifested as a reduced current density and slower inactivation.

Hypokalemic Periodic Paralysis FAQ

License Permission is granted for health-care professionals, patients and caregivers to make copies for personal use only, provided that this copyright notice remains intact. Glucose containing solutions may cause weakness. Hypokalemic periodic paralysis hypoPP is characterised by episodes of muscle paralysis lasting from a few to hours and associated with a fall in blood potassium levels.

Biochem Biophys Res Commun. Management includes a diet low in sodium and simple carbohydrates.

Periodic Paralyses: Background, Pathophysiology, Epidemiology

Potassium can be taken by mouth. Treatment of hypokalemic periodic paralysis focuses on preventing further attacks and relieving acute symptoms.

Leaky sodium channels from voltage sensor mutations in periodic paralysis, but not paramyotonia. About one in three cases happen as a result of a mutation which takes place perioeic conception, like any birth defect.


This confirms the diagnosis. The skeletal muscle dihydropyridine DHP receptor is located primarily in the transverse tubular membrane. Differential diagnosis The differential diagnosis should include thyrotoxic periodic paralysis see this term which is associated with abnormal thyroid hormone levels. A novel sodium channel mutation in a family with hypokalemic periodic paralysis.

As a person ages, they may experience fewer episodes of paralysis. It’s more common in children and…. This refers to general muscle weakness lasting longer periods of time. This syndrome is associated with mutations in the KCNJ2 gene.

Hypokalemic Periodic Paralysis

Sleep is a strong trigger. No single mechanism is responsible for this group of disorders. The paralysis most often affects the four limbs, thus resulting in tetraplegia. Nondystrophic myotonias and periodic paralysis. Getting too hungry, or eating a large meal especially if parxlysis are very hungry triggers episodes in many patients.

How often the attacks occur varies.

Patients who are taking diuretics which cause the kidneys to conserve potassium should consult with their doctors before taking potassium supplements. Apr 30, Author: The exercise test in periodic paralysis. Mutations of the sodium channel gene SCN4A have several general features.

Hypokalemic Periodic Paralysis | Periodic Paralysis Intl.

Muscle weakness that involves the breathing or swallowing muscles is an emergency situation. For others it is necessary to take daily medication. This entity is distinguished paralysi thyroid function testsand the diagnosis is paraysis called thyrotoxic periodic paralysis.

Paralysis attacks can be managed by drinking one of various potassium salts dissolved in water debate exists over which, if any one in particular, is best used, but potassium chloride and bicarbonate are common. Unless otherwise specified, the articles in this website have been authored or compiled by Deborah Cavel-Greant.


The sodium channel has an alpha subunit and a beta subunit. Besides the patient history or a report of serum potassium low normal or low during an attack, the long exercise test is the current standard for medical testing.

A number of mutations are associated with this condition, 3 of them at the same site in the S4 segment.

Most patients have good muscle strength between attacks, but in most patients muscle tissue is damaged over time. This is what causes the muscle weakness and paralysis. Swash M, Schwartz MS: From Wikipedia, the free encyclopedia.

Recovery is usually sudden when it occurs, due to release of pfriodic from swollen muscles as they recover. It is safe to take potassium supplementation and be on an aldosterone antagonist in the case of hypokalemic periodic paralysis. Most patients have some reduction of muscle strength by the time they are years old. The patient with HypoKPP does not lose potassium in the urine during attacks.