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Basedow's paraplegia, A rare presentation of severe untreated hyperthyroidism

 Department of General Medicine, Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India

Correspondence Address:
Saqlain Mohamed,
Department of General Medicine, Sapthagiri Institute of Medical Sceinces and Research Centre, Bengaluru, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajim.ajim_109_20

Typical presentations of hyperthyroidism are palpitation, nervousness, tremor, malaise, and weight loss. Hyperthyroidism affects nearly every system in the body, and some patients may manifest neurologic symptoms. Atypical presentations of hyperthyroidism often pose a great challenge in diagnosis and treatment. We report a case of Basedow's paraplegia, A 45-year-old male auto driver by occupation presented with complaints of weight loss of 15 kg in 2 months and weakness of the lower extremities for 1 month. On examination, he had weakness of both lower limbs and on investigation, he was found to be in severe hyperthyroid status, other investigations done to look for the causes of weakness of lower limbs were negative. The patient was treated for hyperthyroidism and gradual improvement of the weakness was observed.

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