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KMID : 0359720080260030277
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Journal of the Korean Neurological Association
2008 Volume.26 No. 3 p.277 ~ p.280
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A Case With Suspected Tick Paralysis
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Lee Hyun-Ui
Kwon Seok-Beom
Hong Yun-Jung
Kim Yung-En
Minn Yang-Ki
Cho Soo-Jin
Kwon Ki-Han
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Abstract
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Tick paralysis is caused by a neurotoxin secreted by female tick. Characteristic initial manifestation is bilateral flaccid ascending paralysis similar to Guillain-Barre 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.
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KEYWORD
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Tick paralysis, Neurotoxin, Guillain-Barre syndrome
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