Tick paralysis

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  1. Acsending flaccid paralysis caused by neurotoxin block acH release
  2. late spring, summer in Rockies & NW
  3. female wood tick or common dog tick
  4. paralysis progresses over 1-2 days to involve bulbar, extraocular muscles.
  5. Resp paralysis can follow
  6. Ataxia may be early finding
  7. normal sens exam usually
  8. DTRs decreased markedly as in GB
  9. fatal in 10% if tick not removed
  10. CHECK for ticks in someone you think has Guillen Barre
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