RT Journal
A1 Manzano F, Kozak GP
T1 ACute quadriplegia in diabetic hyperosmotic coma with hypokalemia
JF JAMA
JO JAMA
YR 1969
FD March 24
VO 207
IS 12
SP 2278
OP 2281
DO 10.1001/jama.1969.03150250108018
UL http://dx.doi.org/10.1001/jama.1969.03150250108018
AB A 42-year-old man had quadriplegia with associated hyperosmotic diabetic coma, marked hypokalemia, and mild ketoacidosis. The exact etiology of the paralysis could not be determined but three possibilities were considered: (1) hypokalemia, (2) diabetic neuropathy, and (3) Guillain-Barré syndrome. This is the second reported case of hyperosmotic diabetic coma in an insulin-dependent diabetic patient.