کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6211996 1268561 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Hypokalemia mimicking a herniated vertebral disc
ترجمه فارسی عنوان
هیپوکالمی که یک دیسک مهره ای فتق دیسک را تقلید می کند
کلمات کلیدی
هیپوکالمی، دیسک مهره ای حنجره، ضعف عضلانی، تهدید کننده زندگی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

Background contextA herniated vertebral disc is a common cause of paralysis. Other causes include infections, tumors, and neurologic diseases. A rare and dangerous but in most cases easily treatable cause is hypokalemia. Clinically, the acute symptoms may resemble a herniated vertebral disc, but hypokalemia per se is life-threatening by causing heart arrest through ventricular tachycardia or fibrillation.PurposeA patient with back pain and neurologic deficit in the lower extremities after a history of a herniated vertebral disc presented, who finally receives the diagnosis of hypokalemia.Study designCase report.MethodsA 25-year-old female patient presenting after a fall with muscle weakness in both legs was followed clinically and radiographically.ResultsNeurological examination showed a lower extremity muscle weakness with three-fifths muscular strength of the quadriceps and tibialis anterior muscle on both sides. Reflexes were diminished bilaterally, anal sphincter tone was normal. Plain radiography suggested a posterior rim fracture of L5, but computed tomography did not confirm this diagnosis. The laboratory investigation revealed a hypokalemia of 1.7 mEq/L. On electrolyte replacement, the patient recovered immediately.ConclusionThis report describes a misleading diagnostic case of back pain and neurologic deficit after a trauma and sensitizes for the possible life-threatening diagnosis hypokalemia, which is rare but easily treatable.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 15, Issue 6, 1 June 2015, Pages e53-e56
نویسندگان
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