Tick paralysis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
# | #Begins w/ development of unsteady gait | ||
##Followed by 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) | |||
==Diagnosis== | ==Diagnosis== | ||
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==Treatment== | ==Treatment== | ||
#Remove the tick as quickly as possible with tweezers | #Remove the tick as quickly as possible with tweezers | ||
#Supportive care (resolves on its own) | |||
==Source== | |||
*Tintinalli | |||
*Rosen | |||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 20:22, 9 September 2011
Background
- Caused by neurotoxin produced by certain ticks in the US and Australia
- most cases have been reported in children
Clinical Features
- Begins w/ development of unsteady gait
- Followed by symmetric ascending flaccid paralysis w/ loss of DTRs
- Presentation can be identical to Guillain-Barre including progression to resp paralysis
- Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)
Diagnosis
- 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
- Supportive care (resolves on its own)
Source
- Tintinalli
- Rosen