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Case Reports in Emergency Medicine
Volume 2018, Article ID 5740509, 3 pages
Case Report

Bilateral Lower Extremity Paralysis in a Caucasian Male Presenting to the Emergency Department

1University of Missouri-Kansas City School of Medicine, USA
2Little Rock Diagnostic Clinic, USA

Correspondence should be addressed to Shunzhong S. Bao; moc.cdrl@oabs

Received 20 November 2017; Accepted 17 April 2018; Published 15 May 2018

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2018 Yicheng K. Bao et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Reported is a case of a 39-year-old Caucasian man who presented to the emergency department with sudden onset bilateral lower extremity paralysis after consuming a large amount of carbohydrates and alcohol. A CT, MRI, and lumbar puncture were performed with negative results; lab results showed hyperthyroidism and hypokalemia. The patient was diagnosed with thyrotoxic periodic paralysis. In a patient presenting with sudden onset paralysis and hypokalemia, the emergency physician should include thyrotoxic periodic paralysis in the differential diagnosis and focus on treating and working up the hypokalemia instead of the paralysis.