Tick paralysis

Revision as of 20:19, 9 September 2011 by Jswartz (talk | contribs)

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