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Clinical Pediatrics
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Tick Paralysis in Three Children

The Diversity of Neurologic Presentations

Richard J. Gorman, D.O., Major, U.S.A.F., M.C.

USAF Medical Center Keesler, Keesler AFB, Mississippi, Department of Pediatrics

O. Carter Snead, M.D., Major, U.S.A.F., M.C.

USAF Medical Center Keesler, Keesler AFB, Mississippi, Department of Pediatrics

Reviewed are 3 cases of tick paralysis in children each with a different presentation. One child presented with an ascending flaccid weakness, an other with weakness and cerebellar signs, and a third with pure cerebellar signs. Ixodes scapularis, the black-legged deer tick, was the offending tick in Case 3 and apparently has not been previously reported to cause paralysis in humans. Because of the potential for a fatal outcome, it is imperative to consider tick paralysis in any child with an ascending flaccid weakness or acute ataxia.

Clinical Pediatrics, Vol. 17, No. 3, 249-251 (1978)
DOI: 10.1177/000992287801700306
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