title: Uncommon dyselectrolytemia complicating Guillain-Barré syndrome.
abstract: Guillain-Barré syndrome (GBS) and hypokalemic paralysis are common causes of acute flaccid quadriparesis and specific therapeutic interventions differ. Simultaneous occurrence of severe hypokalemia in patients with GBS at the time of presentation can cause diagnostic and therapeutic dilemma. Presence of hypomagnesemia with hypokalemia in patients with GBS can be perplexing and pose further challenges. Evaluation for preexisting inherited or other associated metabolic disturbances is needed in the presence of such complex dyselectrolytemia. We report the rare association of GBS with severe hypokalemia and hypomagnesemia in a 41-year-old male presenting with acute flaccid quadriparesis and the therapeutic challenges faced.
authors.affiliation: Department of Neurology, KLE University's Jawaharlal Nehru Medical College and KLES', Dr. Prabhakar Kore Hospital and MRC, Nehrunagar, Belgaum - 590 010, India.
authors.forename: Aralikatte Onkarappa
authors.initials: AO
authors.lastname: Saroja
authors.forename: Karkal Ravishankar
authors.initials: KR
authors.lastname: Naik
authors.forename: Mallikarjun S
authors.initials: MS
authors.lastname: Khanpet
keywords: Guillain–Barré syndrome; hypokalemia; hypomagnesemia