진드기독마비로 의심되는 사지마비 환자
A Case With Suspected Tick Paralysis
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Tick paralysis is caused by a neurotoxin secreted by female tick. Characteristic initial manifestation is bilateral flaccid ascending paralysis similar to Guillain-Barré 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.
Abstract
Tick paralysis is caused by a neurotoxin secreted by female tick. Characteristic initial manifestation is bilateral flaccid ascending paralysis similar to Guillain-Barré 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.
참고문헌 (10)
- Kocan AA, "Tick paralysis", J Am Vet Med Assoc, 192, pp.1498~1500 (1988)
- Felz MW, "A six year old girl with tick paralysis", N Engl J Med, 342, pp.90~94 (2000)
- Vedanarayanan VV, "Tick paralysis in children: electrophysiology and possibility of misdiagnosis", Neurology, 59, pp.1088~1090 (2002)
- Grattan-Smith PJ, "Clinical and neurophysiological features of tick paralysis", Brain, 120, pp.1975~1987 (1997)
- Sutherland SK, "Ticks In Australian animal toxins. The creatures, their toxins and care of the poisoned patient.", pp.299~315 (1983), Oxford University Press
- Cooper BJ, "Temperature-dependent inhibition of evoked acetylcholine release in tick paralysis", Nature, 263, pp.693~695 (1983)
- Rose I, "Evidence of neuromuscular block in tick paralysis", Nature, 178, pp.95~96 (1956)
- Cherington M, "Tick paralysis: neurophysiologic studies", N Engl J Med, 278, pp.95~97 (1968)
- Bachman DS, "Acute inflammatory polyradiculoneuropathy following hymenoptera stings", JAMA, 247, pp.1443~1445 (1982)
- Beaudouin B, "Unusual manifestations of hypersensitivity after a tick bite: repot of two cases", Ann A llergy Asthma Immunol, 79, pp.43~46 (1997)
