Question
A 13-year-old girl had lumbar puncture, MRI, and CT scans at a top-tier hospital, all of which were normal. However, she has recently been experiencing periodic paralysis, with episodes lasting about half an hour followed by relief. What are the diagnosis and treatment methods, as well as which department should she consult and what medication should she take?
Answer
Based on your description, the possible diagnosis is periodic paralysis caused by low blood potassium levels. During an attack, adults can take potassium chloride orally or via tube feeding. For patients with respiratory muscle paralysis, timely artificial respiration, suctioning, and oxygen administration should be provided. For patients with arrhythmias, a 10% potassium chloride solution, insulin, and 5% glucose infusion can be administered intravenously. For those with frequent attacks, potassium chloride can be taken orally before bedtime during the intermission. If there are symptoms of hyperthyroidism or adrenal cortical tumor, additional medication or surgical treatment should be implemented. Mild episodes of hyperkalemic periodic paralysis typically do not require treatment.