Document Detail

Tick paralysis with atypical presentation: isolated, reversible involvement of the upper trunk of brachial plexus.
MedLine Citation:
PMID:  16794084     Owner:  NLM     Status:  MEDLINE    
Tick paralysis is a disease that occurs worldwide. It is a relatively rare but potentially fatal condition. The only way to establish the diagnosis is to carefully search for the tick paralysis. It is caused by a neurotoxin secreted by engorged female ticks. Tick paralysis generally begins in the lower extremities and ascends symmetrically to involve the trunk, upper extremities and head within a few hours. Although early-onset prominent bulbar palsy and isolated facial weakness without generalised paralysis are rare, there is no report in the English literature concerning isolated, reversible involvement of the upper trunk of brachial plexus caused by tick bite. We report a case of isolated, reversible involvement of the upper trunk of brachial plexus as a variant of tick paralysis. Diagnosis was confirmed with needle electromyography and nerve conduction examination. Within 2 weeks, the patient was fully recovered. The purpose of presenting this case is to remind clinicians that tick paralysis should be considered even in cases with atypical neurological findings admitted to the emergency department.
A Engin; N Elaldi; E Bolayir; I Dokmetas; M Bakir
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  23     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-23     Completed Date:  2006-12-14     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  e42     Citation Subset:  IM    
Department of Infectious Diseases, Cumhuriyet University School of Medicine, Sivas, Turkey.
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MeSH Terms
Agricultural Workers' Diseases / diagnosis*
Brachial Plexus Neuropathies / etiology*
Musculocutaneous Nerve
Tick Paralysis / diagnosis*

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