Severe dermatomyositis presenting as quadriparesis: An unusual sequel in elderly

Quadriparesis as an unusual manifestation of chronic subdural haematoma.

Chronic subdural haematomas are frequently seen in neurosurgical practice, but because of the multitude of their clinical presentations, appropriate diagnosis is often not made in the early stages. The cases reported concern a 62-year-old male and a 54-year-old woman, both presenting in an unusual manner, namely a progressive quadriparesis.

Primary Sjögren's Syndrome Presenting as Flaccid Quadriparesis.

Primary Sjögren's syndrome is an autoimmune disease presenting classically as keratoconjunctivitis sicca. Renal involvement in Sjögrens's syndrome is less common, and the initial presentation with renal complications without any sicca symptoms is extremely rare. The renal involvement may present with symptoms arising from interstitial nephritis, mainly distal renal tubular acidosis.

Hypokalemic quadriparesis: an unusual manifestation of leptospirosis.

We report a 46-year-old male who presented with fever and flaccid weakness of all four limbs due to Leptospirosis associated hypokalemia. Acute hypokalemic quadriparesis is an uncommon presentation of leptospirosis, not yet widely recognised. Renal potassium wasting occurs in Leptospirosis and subsequently, the development of hypokalemia leads to paralysis. The patient had kaliuresis due to lep...

Severe vocal cord dysfunction: an unusual complication of juvenile dermatomyositis.

An Acute Evolving Flaccid Quadriparesis in an Elderly Woman

A 72-year-old woman was admitted with progressive lower limb weakness, such that she was unable to stand or walk. She was previously healthy, accustomed to play tennis twice a week. Five days prior to admission she had developed low back pain radiating to the legs without a history of trauma. The pain was followed by numbness in the legs, beginning distally and then ascending over two or three ...