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=== Periodic paralysis === Patients with ME/CFS may experience episodes of [[paralysis]], particularly affecting their legs and/or arms, making them unable to temporarily unable to walk. De Becker et al. (2001) conducted a large study of [[chronic fatigue syndrome]] patients, and found that 27.2% of patients meeting the [[Fukuda criteria]] and 33.2% of patients meeting the [[Holmes criteria]] for CFS experienced episodes of [[paralysis]].<ref name="DeBecker2001">{{Cite journal | last =De Becker | first=Pascale | author-link = Pascale De Becker | last2=McGregor | first2 = Neil | author-link2 = Neil McGregor | last3=De Meirleir | first3=Kenny | author-link3 = Kenny De Meirleir| date = Dec 2001 | title = A definition‐based analysis of symptoms in a large cohort of patients with chronic fatigue syndrome|url=https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2796.2001.00890.x?sid=nlm%3Apubmed|journal=Journal of Internal Medicine|volume=250|issue=3|pages=234–240|doi=10.1046/j.1365-2796.2001.00890.x|quote=|via=}}</ref> Crowhurst and Crowhurst (2013) surveyed patients with severe myalgic encephalomyelitis, and found yhat [[hypokalemic periodic paralysis]] was particularly common.<ref name="Crowhurst2013">{{Cite web|url=http://carersfight.blogspot.com/2013/08/paralysis-qualitative-study-of-people.html | title = Paralysis, a qualitative study of people with Severe Myalgic Encephalomyelitis | last =Crowhurst | first=Greg | authorlink=Greg Crowhurst | last2 = Crowhurst | first2 = Linda | authorlink2 = Linda Crowhurst | date = Aug 8, 2013 | website = [[Stonebird]]|archive-url=|archive-date=|url-status=|access-date=2018-12-28}}</ref> Hypokalemic periodic paralysis is a form of temporary paralysis caused by a rapid drop in [[potassium]] levels in cells, which prevents the nervous system from transmitting the signals needed to move despite the fact that the spinal cord is not damaged. This paralysis can be caused by a number of different triggers including [[Exertion|over-exertion]], and patients may have normal potassium levels between attacks.
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