Li Zhongzeng, Turner Robert P
Department of Neurology, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston,SC 29425, USA.
Pediatr Neurol. 2004 Oct;31(4):304-7. doi: 10.1016/j.pediatrneurol.2004.05.005.
This report describes two cases of tick paralysis in children diagnosed within a 3-month period (May-July 2002) in rural South Carolina. Differing presenting symptoms consisted of acute onset of ataxia in one patient and acute ascending paralysis in the other. Ticks were present on the scalp of both patients and were removed immediately. Both girls demonstrated improvement of signs and symptoms within hours and complete recovery within 24 hours of tick removal. The diagnosis of tick paralysis must be considered in any patient, particularly children, who present with either acute ataxia or acute ascending paralysis. As in any clinical encounter, careful history and thorough general and neurologic examinations must be performed to exclude the possibility of tick attachment.
本报告描述了2002年5月至7月期间在南卡罗来纳州农村地区3个月内确诊的两例儿童蜱瘫痪病例。两名患者的表现症状不同，一名患者为急性共济失调发作，另一名为急性上行性麻痹。两名患者的头皮上均发现蜱虫并立即被摘除。两名女孩在数小时内体征和症状均有改善，摘除蜱虫后24小时内完全康复。对于任何出现急性共济失调或急性上行性麻痹的患者，尤其是儿童，都必须考虑蜱瘫痪的诊断。与任何临床情况一样，必须仔细询问病史并进行全面的体格和神经系统检查，以排除蜱虫附着的可能性。
