We report on the anesthetic management of an 11-yearold girl with hypokalemic periodic paralysis who underwent left radius plate removal surgery. This patient’s course was complicated early in the postoperative period by an episode of bilateral lower limb paralysis. She presented with hypokalemia after general anesthesia; however, she recovered well after taking a potassium supplement. Patients with this disorder, who are apparently normal, can develop sudden paralysis when they are exposed to predisposing factors peri-operatively. Complications related to this rare genetic disorder, the factors that can precipitate these, and preventive measures are discussed.
Wei Chou, Ping-Heng Tan and Wen Chne I
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