| Gitelman's syndrome: A RARE PRESENTATION MIMICKING CAUDA EQUINA SYNDROME. | |
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MedLine Citation:
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PMID: 21282770 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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We describe a case of bilateral weakness of the lower limbs, sensory disturbance and intermittent urinary incontinence, secondary to untreated Gitelman's syndrome, in a 42-year-old female who was referred with presumed cauda equina syndrome. On examination, the power of both legs was uniformly reduced, and the perianal and lower-limb sensation was altered. However, MRI of the lumbar spine was normal. Measurements of serum and urinary potassium were low and blood gas analysis revealed metabolic alkalosis. Her symptoms resolved following potassium replacement. We emphasise the importance of measurement of the plasma and urinary levels of electrolytes in the investigation of patients with paralysis of the lower limbs and suggest that they, together with blood gas analysis, allow the exclusion of unusual causes of muscle weakness resulting from metabolic disorders such as metabolic alkalosis. |
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Authors:
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C S Quinlan; J C Walsh; A-M Moran; C Moran; S K O'Rourke |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 93 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 266-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedic Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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