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진드기독마비로 의심되는 사지마비 환자

A Case With Suspected Tick Paralysis

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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)

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  3. Vedanarayanan VV, "Tick paralysis in children: electrophysiology and possibility of misdiagnosis", Neurology, 59, pp.1088~1090 (2002)
  4. Grattan-Smith PJ, "Clinical and neurophysiological features of tick paralysis", Brain, 120, pp.1975~1987 (1997)
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  6. Cooper BJ, "Temperature-dependent inhibition of evoked acetylcholine release in tick paralysis", Nature, 263, pp.693~695 (1983)
  7. Rose I, "Evidence of neuromuscular block in tick paralysis", Nature, 178, pp.95~96 (1956)
  8. Cherington M, "Tick paralysis: neurophysiologic studies", N Engl J Med, 278, pp.95~97 (1968)
  9. Bachman DS, "Acute inflammatory polyradiculoneuropathy following hymenoptera stings", JAMA, 247, pp.1443~1445 (1982)
  10. Beaudouin B, "Unusual manifestations of hypersensitivity after a tick bite: repot of two cases", Ann A llergy Asthma Immunol, 79, pp.43~46 (1997)

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