J Korean Neurol Assoc.
2008 Aug;26(3):277-280.
A Case With Suspected Tick Paralysis
- Affiliations
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- 1Department of Neurology, Hallym University College of Medicine, Seoul, Korea. neurokkh@medigate.net
Abstract
- Tick paralysis is caused by a neurotoxin secreted by female tick. Characteristic initial manifestation is bilateral flaccid ascending paralysis similar to Guillain-Barr? syndrome. The predominant electrophysiological abnormality is a reduction in complex muscle action potentials. Here, we present a 62-year-old man who initially experienced a sudden biting pain on his scalp. Subsequently he developed bilateral lower extremity paralysis that ascended symmetrically involving the upper extremities. Within 2 weeks, the patient showed a full recovery without treatment.