Rh. Stewart et al., POSSIBLE NORMOKALEMIC VARIANT OF HYPERKALEMIC PERIODIC PARALYSIS IN 2HORSES, Journal of the American Veterinary Medical Association, 203(3), 1993, pp. 421-424
Hyperkalemic periodic paralysis (HPP), characterized by intermittent e
pisodes of muscle fasciculations, Profound muscle weakness, and hyperk
alemia, has been described in Quarter Horses, Appaloosas, and Paints.
In previous reports, the hallmark of this syndrome has been the develo
pment of hyperkalemia during each episode. Two affected horses had epi
sodes of paralysis without associated hyperkalemia, demonstrating that
normokalemia during an episode otherwise consistent with HPP does not
eliminate HPP as a diagnosis. This clinical presentation appeared to
be a variant of HPP.