Periodic paralysis is also seen as one of the uncommon cause of quadriplegia in the physical and rehabilitation medicine practice. There have been anecdotal reports of periodic paralysis associated with hypothyroidism. However, there is no clear cut evidence of hypothyroidism causing hypokalaemia leading to periodic paralysis or vice versa. This case report highlights the importance of keeping periodic paralysis as an important cause of the recurrent paralytic attack, importance of serum potassium and thyroid function tests and recovery pattern without active physical therapy intervention which may actually aggravate the disease process. Its occurrence in a young male patient is also a rare phenomenon.
Ulcer prevention and its management has been a challenge in the practice of rehabilitation medicine and more so, with the tetraplegic subjects. We herein report a case of a 42-year-old tetraplegic male, who presented with multiple pressure ulcers and atypical grade-II ulcer in the right groin due to mismanagement of indwelling urethral catheter. Groin is extremely an unusual site for ulcer and no similar case has been previously reported with an ulcer in the groin in a spinal cord injury (SCI) patients. This case highlights the importance of proper positioning of indwelling urethral catheter, its care, and prevention of medical devices related (iatrogenic) complications in patients undergoing treatment.
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