RESUMO
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.
Assuntos
Erros de Diagnóstico , Paralisia por Carrapato/diagnóstico , Pré-Escolar , Diagnóstico Diferencial , Erros de Diagnóstico/estatística & dados numéricos , Feminino , Síndrome de Guillain-Barré/diagnóstico , Síndrome de Guillain-Barré/tratamento farmacológico , Síndrome de Guillain-Barré/fisiopatologia , Humanos , Imunoglobulinas Intravenosas/uso terapêutico , Masculino , Condução Nervosa/fisiologia , Paralisia por Carrapato/tratamento farmacológico , Paralisia por Carrapato/fisiopatologiaRESUMO
Ataxia is a common neurologic finding in many disease processes of the nervous system, and has classically been associated with numerous metabolic disorders. An error of metabolism should be considered when the ataxia is either intermittent or progressive. Acute exacerbation or worsening after high protein ingestion, concurrent febrile illness, or other physical stress is also suggestive. A positive family history can be an important diagnostic clue. Progressive molecular and biochemical techniques are revolutionizing this area of medicine, and there has been rapid advancement in understanding of the disease processes.
Assuntos
Doenças Metabólicas/complicações , Degenerações Espinocerebelares/etiologia , Acidose Láctica/genética , Acidose Láctica/patologia , Erros Inatos do Metabolismo dos Aminoácidos/complicações , Erros Inatos do Metabolismo dos Aminoácidos/genética , Glicosilação , Humanos , Doenças por Armazenamento dos Lisossomos/genética , Doenças por Armazenamento dos Lisossomos/patologia , Doenças Metabólicas/genética , Transtornos Peroxissômicos/genética , Transtornos Peroxissômicos/patologia , Degenerações Espinocerebelares/genética , Ureia/metabolismoRESUMO
Mental nerve neuropathy causes the "numb chin" syndrome and is usually associated with mandibular bone injury or disease in adults. It has been reported in adults during sickle cell crises. We describe a 15-year-old boy who developed bilateral mental nerve neuropathies during a sickle cell crisis. This case is unusual because of the simultaneous bilateral involvement and because of the age.