Tick paralysis - Revision history

Kxl328: /* Clinical Features */

2018-10-17T13:56:56Z

Clinical Features

← Older revision		Revision as of 13:56, 17 October 2018
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	*Presentation can be identical to Guillain-Barre including progression to respiratory paralysis		*Presentation can be identical to Guillain-Barre including progression to respiratory paralysis
	**Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)		**Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)
			**Also unlike GBS, autonomic dysfunction is not typical in tick paralysis

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: Text replacement - " resp " to " respiratory "

2016-08-03T09:30:11Z

Text replacement - " resp " to " respiratory "

← Older revision		Revision as of 09:30, 3 August 2016
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	*Symptoms begin 2-6d after attachment of tick		*Symptoms begin 2-6d after attachment of tick
	**Ataxia → symmetric ascending flaccid paralysis with loss of DTRs		**Ataxia → symmetric ascending flaccid paralysis with loss of DTRs
	*Presentation can be identical to Guillain-Barre including progression to ~~resp~~ paralysis		*Presentation can be identical to Guillain-Barre including progression to respiratory paralysis
	**Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)		**Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T00:45:02Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 00:45, 26 July 2016
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	{{Weakness DDX}}		{{Weakness DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
	*Sensory abnormalities and elevation of CSF protein level do not occur		*Sensory abnormalities and elevation of CSF protein level do not occur

ClaireLewis: /* Diagnosis */

2016-07-14T05:25:34Z

Diagnosis

← Older revision		Revision as of 05:25, 14 July 2016
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	*Clinical diagnosis		*Clinical diagnosis
	*Sensory abnormalities and elevation of CSF protein level do not occur		*Sensory abnormalities and elevation of CSF protein level do not occur
	*Progression and resolution of symptoms (w/ tick removal) is faster than in Guillain-Barre		*Progression and resolution of symptoms (with tick removal) is faster than in Guillain-Barre

	==Management==		==Management==

Neil.m.young: Text replacement - " w/ " to " with "

2016-07-13T02:24:38Z

Text replacement - " w/ " to " with "

← Older revision		Revision as of 02:24, 13 July 2016
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	==Clinical Features==		==Clinical Features==
	*Symptoms begin 2-6d after attachment of tick		*Symptoms begin 2-6d after attachment of tick
	**Ataxia → symmetric ascending flaccid paralysis w/ loss of DTRs		**Ataxia → symmetric ascending flaccid paralysis with loss of DTRs
	*Presentation can be identical to Guillain-Barre including progression to resp paralysis		*Presentation can be identical to Guillain-Barre including progression to resp paralysis
	**Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)		**Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)

Neil.m.young: Text replacement - "sx " to "symptoms "

2016-07-10T03:49:43Z

Text replacement - "sx " to "symptoms "

← Older revision		Revision as of 03:49, 10 July 2016
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	*Clinical diagnosis		*Clinical diagnosis
	*Sensory abnormalities and elevation of CSF protein level do not occur		*Sensory abnormalities and elevation of CSF protein level do not occur
	*Progression and resolution of sx (w/ tick removal) is faster than in Guillain-Barre		*Progression and resolution of symptoms (w/ tick removal) is faster than in Guillain-Barre

	==Management==		==Management==

Mholtz at 04:21, 25 February 2016

2016-02-25T04:21:25Z

← Older revision		Revision as of 04:21, 25 February 2016
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	===Pathophysiology===		===Pathophysiology===
	Paralysis results from the neurotoxin “ixobotoxin,” which inhibits the release of acetylcholine at the neuromuscular junction and autonomic ganglia, very similar to botulinum toxin.		*Paralysis results from the neurotoxin “ixobotoxin,” which inhibits the release of acetylcholine at the neuromuscular junction and autonomic ganglia, very similar to botulinum toxin.

	==Clinical Features==		==Clinical Features==
	*Symptoms begin 2-6d after attachment of tick		*Symptoms begin 2-6d after attachment of tick
	**Ataxia -> symmetric ascending flaccid paralysis w/ loss of DTRs		**Ataxia → symmetric ascending flaccid paralysis w/ loss of DTRs
	*Presentation can be identical to Guillain-Barre including progression to resp paralysis		*Presentation can be identical to Guillain-Barre including progression to resp paralysis
	**Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)		**Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)
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	==Diagnosis==		==Diagnosis==
			*Clinical diagnosis
	*Sensory abnormalities and elevation of CSF protein level do not occur		*Sensory abnormalities and elevation of CSF protein level do not occur
	*Progression and resolution of sx (w/ tick removal) is faster than in Guillain-Barre		*Progression and resolution of sx (w/ tick removal) is faster than in Guillain-Barre

	==~~Treatment~~==		==Management==
	*~~Remove~~ tick ~~as quickly as possible with tweezers~~		*Removal of tick is curative, but resolution may take days-weeks.
	**Proper removal of the tick is ~~very~~ important ~~incomplete removal may infect the patient~~.		**Proper removal of the tick is important.
	***~~The tick~~ should be grasped as close to the skin surface as possible with blunt curved forceps, tweezers, or gloved hands. Steady pressure without crushing the body should be used. After tick removal, the site should be disinfected.		***Tick should be grasped as close to the skin surface as possible with blunt curved forceps, tweezers, or gloved hands. Steady pressure without crushing the body should be used. After tick removal, the site should be disinfected.
	***Traditional methods of tick removal using petroleum jelly, topical lidocaine, ﬁngernail polish, isopropyl alcohol, or a hot match head are ineffective and may induce the tick to salivate or regurgitate into the wound.		***Traditional methods of tick removal using petroleum jelly, topical lidocaine, ﬁngernail polish, isopropyl alcohol, or a hot match head are ineffective and may induce the tick to salivate or regurgitate into the wound.
	**Removal of Ixodes tick does not result in improvement for days to weeks.
	*Supportive care (resolves on its own)		*Supportive care (resolves on its own)

			==See Also==
			*[[Tick borne illnesses]]

	==References==		==References==
			<references/>

	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1: /* Pathophysiology */

2015-11-17T10:43:06Z

Pathophysiology

← Older revision		Revision as of 10:43, 17 November 2015
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	*Most cases reported in children		*Most cases reported in children

	==Pathophysiology==		===Pathophysiology===
	Paralysis results from the neurotoxin “ixobotoxin,” which inhibits the release of acetylcholine at		Paralysis results from the neurotoxin “ixobotoxin,” which inhibits the release of acetylcholine at the neuromuscular junction and autonomic ganglia, very similar to botulinum toxin.
	the neuromuscular junction and autonomic ganglia, very similar to botulinum toxin.

	==Clinical Features==		==Clinical Features==

Jesse at 01:12, 17 November 2015

2015-11-17T01:12:48Z

← Older revision		Revision as of 01:12, 17 November 2015
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	**Proper removal of the tick is very important incomplete removal may infect the patient.		**Proper removal of the tick is very important incomplete removal may infect the patient.
	***The tick should be grasped as close to the skin surface as possible with blunt curved forceps, tweezers, or gloved hands. Steady pressure without crushing the body should be used. After tick removal, the site should be disinfected.		***The tick should be grasped as close to the skin surface as possible with blunt curved forceps, tweezers, or gloved hands. Steady pressure without crushing the body should be used. After tick removal, the site should be disinfected.
	***Traditional methods of tick removal using petroleum jelly, topical lidocaine, ﬁngernail polish, isopropyl alcohol, or a hot match head are ineffective and may induce the tick to salivate or regurgitate into the wound. ~~<ref>http://www.cdc.gov/ticks/removing_a_tick.html</ref>~~		***Traditional methods of tick removal using petroleum jelly, topical lidocaine, ﬁngernail polish, isopropyl alcohol, or a hot match head are ineffective and may induce the tick to salivate or regurgitate into the wound.
	**Removal of Ixodes tick does not result in improvement for days to weeks.		**Removal of Ixodes tick does not result in improvement for days to weeks.
	*Supportive care (resolves on its own)		*Supportive care (resolves on its own)

Jesse at 01:10, 17 November 2015

2015-11-17T01:10:49Z

← Older revision		Revision as of 01:10, 17 November 2015
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	*Remove tick as quickly as possible with tweezers		*Remove tick as quickly as possible with tweezers
	**Proper removal of the tick is very important incomplete removal may infect the patient.		**Proper removal of the tick is very important incomplete removal may infect the patient.
	***The tick should be grasped as close to the skin surface as possible with blunt curved forceps, tweezers, or gloved hands. Steady pressure		***The tick should be grasped as close to the skin surface as possible with blunt curved forceps, tweezers, or gloved hands. Steady pressure without crushing the body should be used. After tick removal, the site should be disinfected.
	without crushing the body should be used. After tick removal, the site should be disinfected.
	***Traditional methods of tick removal using petroleum jelly, topical lidocaine, ﬁngernail polish, isopropyl alcohol, or a hot match head are ineffective and may induce the tick to salivate or regurgitate into the wound. <ref>http://www.cdc.gov/ticks/removing_a_tick.html</ref>		***Traditional methods of tick removal using petroleum jelly, topical lidocaine, ﬁngernail polish, isopropyl alcohol, or a hot match head are ineffective and may induce the tick to salivate or regurgitate into the wound. <ref>http://www.cdc.gov/ticks/removing_a_tick.html</ref>
	**Removal of Ixodes tick does not result in improvement for days to weeks.		**Removal of Ixodes tick does not result in improvement for days to weeks.