Beyond the Usual: A Case Series on Acute Hypokalemic Paralysis with a Rare Neurological Twist

Hypokalemic paralysis is characterised by acute muscular weakness due to low levels of potassium in the blood. We report three cases (ages 23, 27, and 25) presented with acute weakness in upper and lower limbs, leading to quadriparesis with no sensory, cranial nerves, bowel, bladder, or cerebellar deficits. On examination, all three patients were conscious, alert, and vitally stable, Neurological examinations revealed flaccid paralysis with exaggerated reflexes and extensor plantars. The rest of the examination was normal. Blood potassium levels were critically low (1.6mEq/L, 2.1mEq/L, 1.3mEq/L), and ECG changes suggestive of hypokalemia. All three showed prompt response to Potassium replacement with complete recovery.