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Periodic paralysis
Abstract
The periodic paralyses are a group of skeletal muscle channelopathies characterizeed by intermittent attacks of muscle weakness often associated with altered serum potassium levels. The underlying genetic defects include mutations in genes encoding the skeletal muscle calcium channel Ca v 1.1, sodium channel Na v 1.4, and potassium channels K ir 2.1, K ir 3.4, and possibly K ir 2.6. Our increasing knowledge of how mutant channels affect muscle excitability has resulted in better understanding of many clinical phenomena which have been known for decades and sheds light on some of the factors that trigger attacks. Insights into the pathophysiology are also leading to new therapeutic approaches.
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“Unlike familial hypokalemic periodic paralysis, TPP can only happen during a hyperthyroid state [7].”
From A Case of Thyrotoxic Periodic Paralysis: "I Can't Move!" (2023) · cites this paper as [7]
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Regulation of muscle potassium: exercise performance, fatigue and health implications
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Periodic Paralysis: A Case Series with a Literature Review
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A Case of Thyrotoxic Periodic Paralysis: "I Can't Move!"
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Metadata
- Authors
- Fialho, D., Griggs, R. C., & Matthews, E. L.
- Affiliations
- National Hospital for Neurology and Neurosurgery (GB)
- University of Rochester Medicine (US)
- Corresponding author
- Robert C. Griggs
- Venue
- Handbook of clinical neurology
- Publisher
- Elsevier
- Published
- 2018
- Volume
- 148
- Pages
- 505-520
- ISSN
- 0072-9752 (ISSN-L)
- OpenAlex
- W4211027566
- Cited by
- 61
- References
- 117
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 10 · 2023: 9 · 2022: 9 · 2021: 7 · 2020: 7 · 2019: 4 · 2018: 4
- FWCI
- 7.41
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Handbook of clinical neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion channel regulation and function
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- periodic paralysis, skeletal muscle channelopathies, muscle weakness, serum potassium, CaV1.1, Nav1.4, Kir2.1, Kir3.4, muscle excitability, pathophysiology, treatment
- MeSH terms
- Humans, Ion Channels, Mutation, Paralyses, Familial Periodic, Genetic Predisposition to Disease
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