OBJECTIVE This case study is about an 11-year-old girl with bilateral facial weakness, abnormal taste sensation, and absent deep tendon reflexes of both knees and ankles. However, the muscle power of the lower and upper extremities across all muscle groups was normal. After 2 days, she developed paresthesia and numbness in the lower extremities. Other neurologic examinations, such as fundoscopi...

A 58-year-old man with a history of diabetes, hypertension, and smoking developed sudden bilateral hand weakness. Examination revealed power 0/5 in intrinsic hand muscles, 2/5 hand grip, and bilateral pinprick sensory loss in C8-T1 distribution. Upper limbs were areflexic and leg reflexes were brisk. He developed urinary retention and neck pain. Cervical MRI showed ischemia in the anterior horn...

Thyrotoxic periodic paralysis (TPP) is a rare disease of muscle, presenting with sudden onset weakness muscles or without features hyperthyroidism. The most commonly occurs in the Asian population representing about 1.9% thyrotoxic patients. It involves predominantly male no family history, hypokalemia. Pathophysiology still not clearly understood. We are describing, case series two different p...