Distal RTA leading to hypokalemia is usually a late manifestation; however, many case reports exist in which paralysis (paraparesis or
quadriparesis) is the presenting feature of Sjogren's syndrome (SS) (9-11).
Motor examination revealed
quadriparesis to be more prominent in the upper extremities, and deep tendon reflexes were decreased bilaterally.
Naqash et al., "Hypokalemic
quadriparesis in an elderly female," Indian Journal of Nephrology, vol.
Spinal cord involvement in NMO usually presents as transverse myelitis with paraparesis or
quadriparesis, a sensory level and sphincter dysfunction [4, 5].
His neurological examination revealed spastic
quadriparesis with positive Hoffman's sign, hyperactive reflexes, and equivocal extensor planter response in both sides.
A case of aortic coarctation presenting with
quadriparesis due to dilated tortuous anterior spinal artery.
Quadriparesis from air emboli during percutaneous nephrolithotomy.
A neurology consultation reveals
quadriparesis, paraparesis, dysarthria, and diplopia on examination, all symptoms associated with central pontine myelinolysis.
The child has mental disabilities, blindness, spastic
quadriparesis, cerebral palsy, gastroesophageal reflux, and complex feeding disorder.
Tingling & numbness & burning sensation were the most common clinical presentation (87.5%), 3 case presented with
quadriparesis (37.5%).