{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:32:33Z","timestamp":1761744753601,"version":"build-2065373602"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute Flaccid paralysis is a rare presentation of severe hyperkalaemia, described rarely in the literature. We report a case of flaccid paralysis, including cranial nerve involvement, secondary to hyperkalaemia in a patient presenting to A&amp;E. Initial ECG showed signs of severe hyperkalaemia and lab results confirmed. The patient was started on hyperkalaemia treatment which reversed his symptoms completely, thus confirming the diagnosis. Flaccid paralysis is a rare presentation of life threatening hyperkalaemia and its recognition is essential in initiating life-saving antihyperkalaemic treatment.<\/jats:p>","DOI":"10.1093\/omcr\/omae023","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T20:28:44Z","timestamp":1712176124000},"source":"Crossref","is-referenced-by-count":0,"title":["Acute flaccid paralysis secondary to severe hyperkalaemia"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0761-2996","authenticated-orcid":false,"given":"Georgina","family":"Hadfield","sequence":"first","affiliation":[{"name":"F2, Northumbria Specialist Emergency Care Hospital ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Harrison","sequence":"additional","affiliation":[{"name":"Consultant in Emergency Medicine, Northumbria Specialist Emergency Care Hospital ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"2025102905112868600_ref1","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1097\/NRL.0b013e3181b120b8","article-title":"Acute quadriplegia from hyperkalemia: a case report and literature review","volume":"16","author":"Panichpisal","year":"2010","journal-title":"Neurologist"},{"key":"2025102905112868600_ref2","doi-asserted-by":"crossref","first-page":"4","DOI":"10.4172\/2155-9562.1000134","article-title":"Flaccid motor paralysis induced by hyperkalaemia","volume":"3","author":"Habaragamuwa","year":"2012","journal-title":"J Neurol Neurophysiol"},{"key":"2025102905112868600_ref3","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1136\/jnnp.64.2.249","article-title":"Secondary hyperkalaemic paralysis","volume":"64","author":"Evers","year":"1998","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2025102905112868600_ref4","doi-asserted-by":"crossref","first-page":"e004667","DOI":"10.1161\/CIRCEP.116.004667","article-title":"Electrophysiology of hypokalemia and hyperkalemia","volume":"10","author":"Weiss","year":"2017","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"2025102905112868600_ref5","first-page":"1","article-title":"Acute ascending flaccid paralysis secondary to multiple trigger factor induced hyperkalaemia","volume":"2018","author":"Hemachandra","year":"2018","journal-title":"Case Rep Neurol Med"},{"key":"2025102905112868600_ref6","doi-asserted-by":"crossref","first-page":"339","DOI":"10.4103\/0972-2327.104354","article-title":"Reversible electrophysiological abnormalities in acute secondary hyperkalaemic paralysis","volume":"15","author":"Naik","year":"2012","journal-title":"Ann Indian Acad Neurol"},{"key":"2025102905112868600_ref7","doi-asserted-by":"crossref","first-page":"324","DOI":"10.2215\/CJN.04611007","article-title":"Retrospective review of the ECG changes in hyperkalaemia","volume":"3","author":"Montague","year":"2008","journal-title":"Clin J Social Nephrol"},{"key":"2025102905112868600_ref8","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1136\/pgmj.56.654.254","article-title":"Hyperkalaemic paralysis due to spironolactone","volume":"56","author":"Udezue","year":"1980","journal-title":"Postgrad Med J"},{"key":"2025102905112868600_ref9","article-title":"Electrocardiograms obtained from Patient\u2019s notes, written permission obtained from him for these images to be used"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/10\/omae023\/64858032\/omae023.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/10\/omae023\/64858032\/omae023.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T09:11:38Z","timestamp":1761729098000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omae023\/8297189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":9,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10,21]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omae023","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,10]]},"article-number":"omae023"}}