Tick paralysis: Difference between revisions

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#Acsending flaccid paralysis caused by neurotoxin block acH release
==Background==
# late spring, summer in Rockies & NW
#Caused by neurotoxin produced by certain ticks in the US and Australia
# female wood tick or common dog tick
#most cases have been reported in children
# paralysis progresses over 1-2 days to involve bulbar, extraocular muscles.
 
# Resp paralysis can follow
==Clinical Features==
# Ataxia may be early finding
#Symmetric ascending flaccid paralysis w/ loss of DTRs
# normal sens exam usually
##Presentation can be identical to Guillain-Barre including progression to resp paralysis
# DTRs decreased markedly as in GB
 
# fatal in 10% if tick not removed
==Diagnosis==
# CHECK for ticks in someone you think has Guillen Barre
#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  
 
==Treatment==
#Remove the tick as quickly as possible with tweezers


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Revision as of 20:19, 9 September 2011

Background

  1. Caused by neurotoxin produced by certain ticks in the US and Australia
  2. most cases have been reported in children

Clinical Features

  1. Symmetric ascending flaccid paralysis w/ loss of DTRs
    1. Presentation can be identical to Guillain-Barre including progression to resp paralysis

Diagnosis

  1. Sensory abnormalities and elevation of CSF protein level do not occur
  2. Progression and resolution of sx (w/ tick removal) is faster than in Guillain-Barre

Treatment

  1. Remove the tick as quickly as possible with tweezers