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Living with Hypokalemic periodic paralysis

A genetic condition with episodes of extreme muscle weakness, usually starting in childhood or the teen years.

Understanding Hypokalemic periodic paralysis

Hypokalemic periodic paralysis is a genetic condition that causes episodes of extreme muscle weakness.

Episodes usually involve a temporary inability to move muscles in the arms and legs and last from hours to days. Some people have attacks almost daily, others weekly, monthly, or rarely. Triggers include rest after exercise, a viral illness, some medicines, a big carbohydrate-rich meal, or hard exercise in the evening. Potassium in the blood is usually low during attacks. Some people develop lasting weakness later in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Episodes of severe muscle weakness
  • Temporary paralysis
  • Exercise-related muscle tiredness
  • Reduced tendon reflexes
  • Low blood potassium during attacks
  • Lasting weakness later in life in some

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Muscular Dystrophy Association may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Muscular Dystrophy Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Muscular Dystrophy Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What triggers should I avoid?
What can I do during an attack?
Would genetic testing help our family?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurological

Also known as: familial hypokalemic periodic paralysis; familial periodic paralysis (& [hypokalaemic]); hkpp; hokpp; hokpp - hypokalemic periodic paralysis; hypokalemic familial periodic paralysis

Patient organizations

Source: NIH GARD · Hypokalemic periodic paralysisGARD ID 6729 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hypokalemic periodic paralysis.

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Explore actively recruiting Hypokalemic periodic paralysis studies with HealthSpark.

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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