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Federación Mexicana de Ginecología y Obstetricia, A.C.

2009, Number 12

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Ginecol Obstet Mex 2009; 77 (12)

Hypokalemic paralysis during pregnancy: a report of two cases

Hernández PJA, Estrada AA, Pérez BGM, Torres TC

Language: Spanish
References: 10
Page: 589-596
PDF size: 327.30 Kb.


ABSTRACT

The hypokalemic paralysis is a disease characterized by the development of acute muscular weakness, associated to low levels of blood potassium (›3.5meq/L). Here we present two cases: in the first one, a 23 years old woman, with 15.5 weeks of gestation has a cuadriplegia associated to blood potassium level of 1.4meq/L, diagnosed with distal tubular acidosis; she required mechanical ventilation for respiratory paralysis. The medical profile remits with potassium intravenous replacement and the pregnancy ends with a spontaneous abortion. The second case is a 15 years old woman with 26.5 weeks of pregnancy, who suffers a generalized paralysis with blood potassium of 2. 7meq/L, requiring also mechanical ventilation for respiratory paralysis; the final diagnosis was Barterr syndrome, and the medical profile remited after potassium supplement. Her pregnancy got complicated with a severe preeclampsia, enough reason for interrumpting the pregnancy at 29.1 weeks of gestation. In both cases Guilliain-Barre syndrome was ruled out.


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