title: [Pareses, myalgias, and massive CK elevation: a severe neurological disorder?].
abstract: METHODS
  The authors report on a 51-year-old patient with transient pareses, myalgias, and a massive creatine kinase elevation which had led to an intensive neurological work-up by the general practitioner. Despite refractory hypertension, primary aldosteronism was not excluded. At the authors' clinic, the patient was diagnosed to have Conn's syndrome. Laparoscopic adrenalectomy revealed a big adenoma of the left adrenal gland.
  
  
  CONCLUSIONS
  Transient pareses, myalgias, and creatine kinase elevation can indicate primary aldosteronism among hypertensive patients. If clinically suspected, the aldosterone-renin ratio should be determined.
authors.affiliation: Abteilung für Innere Medizin, Loretto-Krankenhaus, Freiburg, Germany.
authors.forename: Johannes
authors.initials: J
authors.lastname: Steinfurt
authors.forename: Markus C
authors.initials: MC
authors.lastname: Müller
authors.forename: Anke
authors.initials: A
authors.lastname: Seidel
authors.forename: Richard
authors.initials: R
authors.lastname: Salm
authors.forename: Andreas
authors.initials: A
authors.lastname: Ochs
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000097:blood / Q000175:diagnosis* / Q000601:surgery; D000315:Adrenalectomy; D018246:Adrenocortical Adenoma / Q000097:blood / Q000175:diagnosis* / Q000601:surgery; D003402:Creatine Kinase / Q000097:blood*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000097:blood / Q000175:diagnosis / Q000601:surgery; D010535:Laparoscopy; D008875:Middle Aged; D009135:Muscular Diseases / Q000097:blood / Q000209:etiology*; D009422:Nervous System Diseases / Q000097:blood / Q000175:diagnosis*; D010146:Pain / Q000209:etiology*; D010291:Paresis / Q000097:blood / Q000209:etiology*
chemical_list: D003402:Creatine Kinase