Thyrotoxic Neuropathy A rare cause of acute flaccid paraplegia
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 4
Abstract
Acute polyneuropathy is a rare manifestation of severe hyperthyroidism. We report a 22-year-old Omani male who presented to the Sohar Hospital, Sohar, Oman, in 2016 with acute-onset rapidly progressive flaccid areflexic paraplegia as the presenting manifestation of thyrotoxicosis. Nerve conduction studies revealed mixed axonal and demyelinating polyneuropathy in both the motor and sensory nerves. Treatment of the hyperthyroidism with β-blockers and carbimazole along with physiotherapy resulted in the patient’s full recovery and the alleviation of his symptoms. Besides highlighting this rare association, this report underscores the importance of including thyroid function tests in the evaluation of patients with acute polyneuropathy.
Authors and Affiliations
Aiman K. Al-Wahaibi| Department of Internal Medicine, Sohar Hospital, Sohar, Oman, Santosh Kumar| Department of Internal Medicine, Sohar Hospital, Sohar, Oman, Ali Al-Risi| Department of Internal Medicine, Sohar Hospital, Sohar, Oman, Farook Wali| Department of Neurology, Royal Hospital, Muscat, Oman
Keywords
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- EP ID EP14825
- DOI 10.18295/squmj.2017.17.04.014
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