• 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.
Furlan AJ, Hanson M, Cooperman A, Farmer RG. Acute Areflexic ParalysisAssociation With Hyperalimentation and Hypophosphatemia. Arch Neurol. 1975;32(10):706–707. doi:10.1001/archneur.1975.00490520076014