Lack of cold sensitivity in hyperkalemic periodic paralysis.

Abstract:

:The nosologic distinction between paramyotonia congenita and hyperkalemic periodic paralysis is somewhat blurred. Muscle membrane inexcitability induced by cooling seems to be characteristic of paramyotonia congenita. The effect of cooling on the maximal compound muscle action potential (CMAP) in patients with paramyotonia congenita was compared to that in patients with hyperkalemic periodic paralysis. Diminution in CMAP amplitude and area, which was observed in paramyotonia congenita, did not occur in hyperkalemic periodic paralysis. We suggest that this effect of cooling on the CMAP can be utilized in the differentiation of these two syndromes.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Subramony SH,Wee AS,Mishra SK

doi

10.1002/mus.880090804

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

700-3

issue

8

eissn

0148-639X

issn

1097-4598

journal_volume

9

pub_type

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