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H. Schaumburg, S. Herskovitz (2000)
The weak child--a cautionary tale.The New England journal of medicine, 342 2
MW Felz, CD Smith, TR Swift (2000)
Tick paralysis in a six-year-old girl., 342
M. Felz, C. Smith, T. Swift (2000)
A six-year-old girl with tick paralysis.The New England journal of medicine, 342 2
IMAGES IN NEUROLOGY Tick Paralysis in the United States: A Photographic Review REPORT OF A CASE embedded in the patient’s posterior promise within hours to a few days. scalp (Figure 2). The specimen was It is possible that certain cases of ap- removed and identified as a female parent Guillain-Barré syndrome that 6-YEAR-OLD girl in Dermacentor variabilis. Within 6 resolve rapidly within days are ac- Georgia developed hours, bulbar signs, and hypoventi- tually due to tick paralysis, which is paresthesias and leg lation resolved and strength im- reversible when ticks complete en- weakness with un- proved. The child recovered com- gorgement and spontaneously de- A stable gait that wors- pletely within 24 hours. Results of tach to lay eggs. Any patients ened over several hours. Under hos- follow-up nerve conduction studies thought to have Guillain-Barré syn- pital observation for 2 days, she were normal. Seventeen days after re- drome, especially those with nor- became progressively weaker in the moval, the tick oviposited approxi- mal cerebrospinal fluid protein lev- lower and later upper extremities, mately 200 eggs (Figure 3). els, should undergo meticulous areflexic, and ataxic (Figure 1). Sen- inspection for engorged ticks in oc- sory testing results were normal.
JAMA Neurology – American Medical Association
Published: Jul 1, 2000
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