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The patient underwent laparoscopic adrenalectomy, after which she no longer required antihypertensive medication and maintained normal serum potassium. This case highlights a reversible but often under-recognised cause of secondary hypertension presenting with hypokalaemic paraparesis.<\/jats:p>","DOI":"10.1136\/bcr-2025-269580","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T11:40:15Z","timestamp":1780918815000},"page":"e269580","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hypokalaemic paralysis as a presenting feature of primary aldosteronism"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9938-0590","authenticated-orcid":false,"given":"Shubham","family":"Khurana","sequence":"first","affiliation":[{"name":"Department of General Medicine, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6042-7784","authenticated-orcid":false,"given":"Vijay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of General Medicine, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4113-2084","authenticated-orcid":false,"given":"Mohd","family":"Adil","sequence":"additional","affiliation":[{"name":"Department of General Medicine, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6012-4899","authenticated-orcid":false,"given":"Neha","family":"Raj","sequence":"additional","affiliation":[{"name":"Department of General Medicine, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varun Ranjan","family":"Dubey","sequence":"additional","affiliation":[{"name":"Department of General Medicine, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"2026060804400682000_19.6.e269580.1","doi-asserted-by":"crossref","first-page":"2453","DOI":"10.1210\/clinem\/dgaf284","article-title":"Primary Aldosteronism: An Endocrine Society Clinical Practice Guideline","volume":"110","author":"Adler","year":"2025","journal-title":"J Clin Endocrinol Metab"},{"key":"2026060804400682000_19.6.e269580.2","doi-asserted-by":"publisher","DOI":"10.1210\/endrev\/bnaf007"},{"key":"2026060804400682000_19.6.e269580.3","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/S2213-8587(17)30319-4","article-title":"Cardiovascular events and target organ damage in primary aldosteronism compared with essential hypertension: a systematic review and meta-analysis","volume":"6","author":"Monticone","year":"2018","journal-title":"Lancet Diabetes Endocrinol"},{"key":"2026060804400682000_19.6.e269580.4","doi-asserted-by":"publisher","DOI":"10.1038\/s41371-023-00875-1"},{"key":"2026060804400682000_19.6.e269580.5","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2015-4061"},{"key":"2026060804400682000_19.6.e269580.6","first-page":"228","article-title":"Primary hyperaldosteronism presenting as hypokalemic periodic paralysis: two case reports","volume":"35","author":"Oguz","year":"2014","journal-title":"EJEA"},{"key":"2026060804400682000_19.6.e269580.7","doi-asserted-by":"crossref","unstructured":"G\u00fcller P\u00dc , \u015eahin Alak ZY , G\u00fc\u00e7l\u00fc M , et al . 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