Hypokalemia-Induced Paralysis in Pregnancy: A Case Report

Abstract

Hypokalemia-induced paralysis is characterized by acute muscular weakness with low levels of potassium (<3.5 mmol/l). Clinical features may range from numbness/weakness to complete paralysis. We present a case of a 26-year-old G1P0 at GA of 32 weeks with preeclampsia, who presented with acute onset of weakness of both upper and lower limbs. She was diagnosed to have Hypokalemic paralysis with potassium levels of 1.3 mmol/L. The medical condition improved promptly on intravenous potassium replacement. Pregnancy was continued till 34 weeks with close feto-maternal surveillance, use of antihypertensives and regular monitoring of serum potassium levels. Postpartum period was uneventful, patient regained full control of her upper and lower limbs and she was discharged after two weeks when potassium levels and BP returned to normal.