Extensive ischemic stroke following scorpion sting in a young during hospital stay in a tertiary care hospital: a rare case report

Dr. Dinesh Kumar Nagar; Dr.Bhalachandra. S. P; Dr. Deepak Gupta

Volume : VII, Issue : XI, November - 2018

Extensive ischemic stroke following scorpion sting in a young during hospital stay in a tertiary care hospital: a rare case report

Dr. Dinesh Kumar Nagar, Dr. Bhalachandra. S. P, Dr. Deepak Gupta

Abstract :

Complication following scorpion sting are common in India and can be fatal. Stroke following scorpion sting is a rare complication and can occur by various mechanisms such as autonomic storm, hypertension, hypotension, toxic myocarditis, disseminated intravascular coagulation, venom induced vasculitis. We present a rare case of multiple ain infarcts following scorpion sting which has rarely been reported in medical literature. In our case non–contrast CT head showed multiple infarcts involving bilateral cerebellar hemisphere, bilateral occipital lobes, medulla and Pons on right side, right temporal lobe, and right thalamus, left parietal lobe. He was investigated for other possible cause of stroke in young without positive results such as cardiac, hematological, rheumatological workup. In view of normal CT cereal angiography and lack of other cause of stroke in young and the temporal relation and progression of events we concluded that stroke in this patient is likely as result of severe vasospasm due to autonomic storm resulting in low flow infarct. Close observation of the patient for a period of hospital stay is required. During this period an hourly check of the patient should be done as assessing the level of consciousness, pulse rate and rhythm, blood pressure, respiratory rate and new symptoms or signs such as focal neurological deficits.