Thyrotoxic Neuropathy: A rare cause of acute flaccid paraplegia

Aiman K. Al-Wahaibi, Santosh Kumar, Ali Al-Risi, Farook Wali

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.


Keywords


Thyrotoxicosis; Polyneuropathy; Hyperthyroidism; Flaccid Paraplegia; Case Report; Oman.

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DOI: http://dx.doi.org/10.18295/squmj.2017.17.04.014

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Sultan Qaboos University Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, PO Box 35, Postal Code 123, Al-Khod, Muscat, Oman

ISSN (Print edition): 2075-051X ISSN (Internet edition): 2075-0528

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