tick paralysis, a rare, progressive, reversible disorder caused by several species of ticks that release a neurotoxin that causes weakness, incoordination, and paralysis. The tick must feed on the host for several days before the symptoms appear, and removal of the tick leads to rapid recovery. Because respiratory or bulbar paralysis can cause death, it is important to search for ticks, frequently hidden in scalp hair, on a patient with these symptoms. This infection is often confused with Guillain-Barré syndrome, botulism, and myasthenia gravis.