Thyrotoxic Periodic Paralysis with Thyroid Storm as the First Presentation of Graves’ disease; a Case Report

Thyrotoxic periodic paralysis is a rare endocrine emergency that manifests as acute onset muscle weaknessand hypokalaemia secondary to thyrotoxicosis. It mainly occurs due to rapid and dramatic intracellular shift ofpotassium resulting in hypokalaemia and acute flaccid paralysis. This condition predominantly affects males ofAsian descent, and presentation can range from mild generalized weakness to complete quadriplegia, as seen inour case. We herein report a case of a 40-year-old female, who presented to us with acute onset flaccid quadriple-gia and thyroid storm, which is the first ever manifestation of previously undiagnosed Grave’s disease. Liverabscess was found to be the underlying trigger for thyrotoxic paralysis and thyroid storm.