Annals of Indian Academy of Neurology
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CASE REPORT
Year : 2015  |  Volume : 18  |  Issue : 3  |  Page : 331-334

Statin-induced bilateral foot drop in a case of hypothyroidism


Department of Neurology, Govind Ballabh Pant Hospital, New Delhi, India

Correspondence Address:
Neera Chaudhary
Department of Neurology, Academic Block, Room No. 511, Govind Ballabh Pant Hospital, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.157251

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Muscle involvement is a common manifestation of both clinical and subclinical hypothyroidism, with serum creatine kinase (CK) elevation being probably the most common manifestation, and is seen in up to 90% of patients, but is usually mild (less than 10 times the upper limit of normal). Rhabdomyolysis is a distinctively uncommon presentation of hypothyroidism described usually in the setting of precipitating events such as strenuous exercise, alcohol, or statin use. Rarely rhabdomyolysis and myoedema seen in hypothyroidism can be complicated by the development of anterior compartment syndrome leading to neurovascular compression. We describe a case of a patient with hypothyroidism who developed acute onset bilateral foot drop on initiation of statins. This case highlights the need for cautious use of statins in patients at risk for rhabdomyolysis.


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