تقرير
Hypokalemic Paraparesis Progressing to Quadriparesis in a Case of Intradural Spinal Tumor.
| العنوان: | Hypokalemic Paraparesis Progressing to Quadriparesis in a Case of Intradural Spinal Tumor. |
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| المؤلفون: | Modi HN; Department of Spine Surgery, Zydus Hospitals and Healthcare Research Private Limited, Ahmedabad. Gujarat. India., Shreshtha U; Department of Spine Surgery, Zydus Hospitals and Healthcare Research Private Limited, Ahmedabad. Gujarat. India., Lakhani O; Department of Endocrinology, Zydus Hospitals and Healthcare Research Private Limited, Ahmedabad. Gujarat. India. |
| المصدر: | Journal of orthopaedic case reports [J Orthop Case Rep] 2020 Dec; Vol. 10 (9), pp. 47-51. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Indian Orthopaedic Research Group Country of Publication: India NLM ID: 101641392 Publication Model: Print Cited Medium: Print ISSN: 2250-0685 (Print) Linking ISSN: 22500685 NLM ISO Abbreviation: J Orthop Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Maharashtra, India : Indian Orthopaedic Research Group |
| مستخلص: | Introduction: This study aims to present a case of spinal intradural tumor with paraparesis referred for surgery, which later progressed to quadriparesis and subsequently found to have hypokalemia due to primary hyperaldosteronism causing a clinical dilemma. Case Report: A 46-year-old male was referred for surgery from peripheral center with a diagnosis of an intradural tumor at L1. The patient presented to us with paraparesis, which progressed to quadriparesis. On evaluation, the patient was found to have low serum potassium levels of 1.6 mmol/L with hypertension. The plasma aldosterone-renin was elevated which was suggestive of primary hyperaldosteronism. Further, investigations in the form of CT abdomen suggested the presence of a right adrenal adenoma. The patient was diagnosed with hypokalemia-induced quadriparesis and treated conservatively with potassium supplementation and later spironolactone. The patient recovered completely in 72 h and was able to walk independently before discharge. Conclusion: Spinal tumor may not always be the cause for patient's paraparesis; non-spinal factors such as hypokalemia should be kept in mind. The presence of intradural spinal tumor with hypokalemia may cause decision dilemma regarding treatment and interdisciplinary approach is recommended to facilitate the treatment. Competing Interests: Conflict of Interest: Nil (Copyright: © Indian Orthopaedic Research Group.) |
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| فهرسة مساهمة: | Keywords: Intradural spine tumor; hypokalemia; management dilemma; paraparesis or quadriparesis; primary hyperaldosteronism/Conn’s syndrome |
| تواريخ الأحداث: | Date Created: 20210625 Latest Revision: 20230413 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC8046447 |
| DOI: | 10.13107/jocr.2020.v10.i09.1898 |
| PMID: | 34169016 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2250-0685 |
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| DOI: | 10.13107/jocr.2020.v10.i09.1898 |