Hypermagnesemia Complicated by Acute Flaccid Paralysis, Case Report

Merga Daba Mulisa,1 Shalom Kassahun Bekele,1 Sebhatleab Teju Mulate,1 Zerubabel Getahun Kiflu,1 Yared Getachew Tadesse,1 Walelign Worku Mamo2 1Department of Internal Medicine, School of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Neurology, School of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Merga Daba Mulisa, Department of Internal Medicine, School of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia, Tel +251912684411, Email mergadaba1995@gmail.comAbstract: Hypermagnesemia is a rare electrolyte abnormality observed in the clinical setting. Patients with this condition can present with a variety of symptoms, depending on the level of serum magnesium. Hypermagnesemia is rarely complicated by weakness of the extremities. We report the case of 32 years old female patient who presented with bilateral upper- and lower-extremity weakness due to hypermagnesemia. Following correction of the serum magnesium level, extremity weakness subsided, and the patient was discharged with improvement. Here, we discuss the delay in the diagnosis and management of this type of clinical presentation.Keywords: hypermagnesemia, extremity weakness, flaccid paralysis