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October 1975

Acute Areflexic Paralysis: Association With Hyperalimentation and Hypophosphatemia

Author Affiliations

From the departments of neurology, general surgery, and gastroenterology, the Cleveland Clinic Foundation and the Cleveland Clinic Educational Foundation, Cleveland.

Arch Neurol. 1975;32(10):706-707. doi:10.1001/archneur.1975.00490520076014

• Acute areflexic paralysis associated with diffuse sensory loss, cranial nerve palsies, and respiratory insufficiency occurred in two patients who developed hypophosphatemia during hyperalimentation. Prompt recovery followed replacement of serum phosphorus in both cases. An electromyogram performed on one patient revealed only decreased insertional activity. A muscle biopsy specimen from the same patient showed minor, nonspecific neurogenic changes.

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