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Tick Paralysis in the United States: A Photographic Review

Tick Paralysis in the United States: A Photographic Review 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Neurology American Medical Association

Tick Paralysis in the United States: A Photographic Review

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References (3)

Publisher
American Medical Association
Copyright
Copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6149
eISSN
2168-6157
DOI
10.1001/archneur.57.7.1071
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

JAMA NeurologyAmerican Medical Association

Published: Jul 1, 2000

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