Cerebrovascular manifestations following scorpion sting

Vengamma, B; P, Nataraja; Prasad, SV Naveen; Obulareddy, G; Anil, C; Naveen, Thota

doi:10.15380/2277-5706.jcsr.15.037

J Clin Sci Res

2016

DOI: 10.15380/2277-5706.jcsr.15.037

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Cerebrovascular manifestations following scorpion sting

B Vengamma¹,

Nataraja P²,

SV Naveen Prasad³

et al.

Abstract: Scorpion sting is a common clinical problem in Rayalaseema area of Andhra Pradesh State in India. Clilnical presentation of scorpion envenomation can range from mild local pain to systemic manifestations involving almost all systems. Cerebrovascular manifestations of scorpion sting have been sparsely documented. We report two cases who presented with ischaemic stroke and haemorrhagic stroke following scorpion sting.

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2024

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Cited by 2 publications

References 7 publications

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Stroke as a rare complication of scorpion stings: A systematic review and analysis

Vasconez-Gonzalez,

Delgado-Moreira,

Gamez-Rivera

et al. 2024

Toxicon: X

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Stroke as a rare complication of scorpion stings: A systematic review and analysis

Vasconez-Gonzalez,

Delgado-Moreira,

Gamez-Rivera

et al. 2024

Toxicon: X

View full text Add to dashboard Cite

Scorpion sting-induced malignant middle cerebral artery infarction

Thangavelu,

Elambilakatt Raroth,

Varghese

et al. 2024

BMJ Case Rep

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A previously healthy middle-aged man in his 40s with a history of red scorpion envenomation presented to the emergency department for the management of an acute stroke syndrome, involving the left middle cerebral artery (MCA) territory, that developed 12 hours after the scorpion sting. He presented to the hospital 15 hours following the stroke. The activation of the autonomic nervous system by the Indian red scorpion venom is known to produce severe systemic manifestations, including cardiogenic shock and acute pulmonary oedema. Death is a rare consequence. Neurological complications resulting from red scorpion injuries are exceedingly uncommon and inadequately documented in the literature. The patient underwent an emergency decompressive craniectomy in view of neurological deterioration despite intracranial pressure-reducing agents. Thrombectomy could not be done in view of the malignant infarct (Alberta Stroke Program Early CT Score of 1) which involved over one-third of the MCA territory. Our patient has made a full recovery and at 6 months’ follow-up; he was capable of walking without assistance. It is essential to promptly identify and manage this under-recognised presentation in order to yield favourable functional outcomes for the patient.

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Cerebrovascular manifestations following scorpion sting

Cited by 2 publications

References 7 publications

Stroke as a rare complication of scorpion stings: A systematic review and analysis

Stroke as a rare complication of scorpion stings: A systematic review and analysis

Scorpion sting-induced malignant middle cerebral artery infarction

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