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 Volume 59, Number 7, October 08, 2002
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Neurology 2002;59:1088-1090
© 2002 American Academy of Neurology
Brief Communications

Tick paralysis in children

Electrophysiology and possibility of misdiagnosis
V. Venkataraman Vedanarayanan, MD FRCPC, Owen B. Evans, MD and S.H. Subramony, MD

From the Departments of Pediatrics (Drs. Vedanarayanan and Evans) and Neurology (Drs. Vedanarayanan, Evans, and Subramony), University of Mississippi Medical Center, Jackson.

Address correspondence and reprint requests to Dr. S. H. Subramony, 2500 North State Street, Department of Neurology, Jackson, MS 39216; e-mail: s_h_s{at}hotmail.com

The authors report six patients with tick paralysis seen over 5 years. Clinical and electrodiagnostic findings failed to adequately distinguish tick paralysis from Guillain–Barré syndrome in these patients. Finding a tick attached to the scalp or the nape of the neck and removing it resulted in rapid clinical improvement.




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