Document Detail

Subacute Onset of Abnormal Gait and Head Drop in a 3-Year-Old With History of Extreme Prematurity.
MedLine Citation:
PMID:  21257840     Owner:  NLM     Status:  Publisher    
A 3-year-old boy who had been a 23-week premature infant had subacute onset of abnormal gait, which progressed to generalized weakness with severe weakness of neck extensors. He had U waves on electrocardiography. His serum potassium was 1.8 mmol/L. The patient had a gastrostomy tube due to chronic feeding issues and was treated with inhaled albuterol for chronic lung disease. When his oral intake regressed, his family administered one of his oral supplements through the gastrostomy tube; the supplement was low in potassium. This feeding regression continued for several months. He had no additional gastrointestinal or renal loss of potassium. He had frequent exacerbations of his bronchopulmonary dysplasia. His history suggested he had chronic potassium depletion and that albuterol may have led to further potassium redistribution, exacerbating his hypokalemia. As more extremely premature infants survive with chronic feeding and respiratory issues, this presentation may become more common.
Jared R Brosch; Roma V Sant; Meredith Golomb
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-21
Journal Detail:
Title:  Journal of child neurology     Volume:  -     ISSN:  1708-8283     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Indiana University School of Medicine, Department of Neurology.
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