Hypokalemic periodic paralysis also known as HOKPP or HypoPP is a condition that causes episodes of muscle paralysis associated with a fall in blood potassium levels, which in technical terms is hypokalemia. Episodes typically involve a temporary inability to move muscles in the arms and legs due to the lack of ions that should be received by the muscles. The first attack usually occurs in childhood or adolescence and can last for hours or days. The frequency of attacks varies among affected people