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Age and Ageing 2003; 32: 114-115
© 2003, British Geriatrics Society

Case Report

Hyperkalaemic paralysis

Oliver J. Muensterer

Department of Surgery, University of Munich, Lindwurmstrasse 4, 80337 Munich, Germany. Fax: (+49) 89 5160 4726. Email: oliver.muensterer{at}kk-i.med.uni-muenchen.de

Background: hyperkalaemic paralysis is a rare, treatable, and potentially fatal entity presenting with flaccid motor weakness.

Case report: a patient with acute hyperkalaemic paralysis caused by erroneous oral potassium supplementation in the context of chronic renal failure. The clinical picture of quadriplegia was initially interpreted as spinal cord injury due to a pathological cervical fracture.

Discussion: the diagnosis of hyperkalaemic paralysis requires a high index of suspicion. Instructions for over-the-counter supplements must be clear and concise to prevent life-threatening medication errors.

Keywords: hyperkalaemic paralysis, cervical fracture, tetraplegia, medication error


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