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Association With Hyperalimentation and Hypophosphatemia

Anthony J. Furlan, MD; Maurice Hanson, MD; Avram Cooperman, MD; Richard G. Farmer, MD

Arch Neurol. 1975;32(10):706-707.

Abstract
• Acute areflexic paralysis associated with diffuse sensory loss, cranial nerve palsies, and respiratory insufficiency occurred in two patients who developed hypophosphatemia during hyperalimentation. Prompt recovery followed replacement of serum phosphorus in both cases. An electromyogram performed on one patient revealed only decreased insertional activity. A muscle biopsy specimen from the same patient showed minor, nonspecific neurogenic changes.

Author Affiliations
From the departments of neurology, general surgery, and gastroenterology, the Cleveland Clinic Foundation and the Cleveland Clinic Educational Foundation, Cleveland.

Footnotes
Accepted for publication Jan 14, 1975.

Reprint requests to Department of Neurology, the Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44106 (Dr Hanson).

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