Diferencia entre revisiones de «Tick paralysis»

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==Background==
==Background==
#Caused by neurotoxin produced by certain ticks in the US and Australia
#Caused by neurotoxin produced by certain ticks in the US and Australia
#most cases have been reported in children
#Most cases reported in children


==Clinical Features==
==Clinical Features==
#Begins w/ development of unsteady gait
#Symptoms begin 2-6d after attachment of tick
##Followed by symmetric ascending flaccid paralysis w/ loss of DTRs
##Ataxia -> 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)
###Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)


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==Treatment==
==Treatment==
#Remove the tick as quickly as possible with tweezers
#Remove tick as quickly as possible with tweezers
#Supportive care (resolves on its own)
#Supportive care (resolves on its own)


==Source==
==Source==
*Tintinalli
*Tintinalli
*Rosen


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[[Category:ID]]

Revisión del 03:50 6 oct 2011

Background

  1. Caused by neurotoxin produced by certain ticks in the US and Australia
  2. Most cases reported in children

Clinical Features

  1. Symptoms begin 2-6d after attachment of tick
    1. Ataxia -> symmetric ascending flaccid paralysis w/ loss of DTRs
  2. Presentation can be identical to Guillain-Barre including progression to resp paralysis
      1. Unlike GBS, may have ocular signs (e.g. fixed and dilated pupils)

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 tick as quickly as possible with tweezers
  2. Supportive care (resolves on its own)

Source

  • Tintinalli