Tick paralysis: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Tick paralysis: management. This shows diffuse reduced compound muscle action potentials (CMAP). Fully referenced neurology checklist.

Electromyography (EMG)

  • This shows diffuse reduced compound muscle action potentials (CMAP)
  • The conduction velocities are normal

Cerebrospinal fluid (CSF) analysis

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Treatment

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References

  1. Engin A, Elaldi N, Bolayir E, Dokmetas I, Bakir M. Tick paralysis with atypical presentation: isolated, reversible involvement of the upper trunk of brachial plexus. Emerg Med J 2006; 23:e42.
  2. Vedanarayanan VV, Evans OB, Subramony SH. Tick paralysis in children: Electrophysiology and possibility of misdiagnosis. Neurology 2002; 59:1088-1090.
  3. Grattan-Smith PJ, Morris JG, Johnston HM, et al. Clinical and neurophysiological features of tick paralysis. Brain 1997; 120:1975-1987.

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