TRANSIENT ISCHEMIC ATTACK AFTER SCORPION STING: A CASE REPORT

Memet Aslanyavrusu, Merva Tuna, Serhat Koyuncu
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Abstract

Aim: Stroke is a rare complication that occurs in addition to life-threatening respiratory and cardiovascular symptoms as a result of a scorpion sting. In this case, we presented a patient who had a transient ischemic attack that developed due to a scorpion sting, which had not been presented in the literature before. Case Presentation: Our case was a 69-year-old male patient who felt pain in his left leg when he woke up in the morning. Weakness and speech disorder developed in the left arm and leg, developed approximately 1.5 hours after this pain. In the first examination of the patient, dysarthria, facial asymmetry, and loss of strength on the left side were detected. No significant pathology was observed in diffusion magnetic resonanca imaging, brain tomography, and brain tomographic angiography. In the physical examination, a dead scorpion has been found among the clothes, and mild redness and swelling at the level of the left ankle were observed. All neurological deficits in the patient resolved completely after 3 hours. Since no risk factor was detected in the examinations, it was thought that there was a transient ischemic attack due to scorpion venom. Conclusion: While investigating the etiology of transient ischemic attack, careful physical examination besides neurological examination and anamnesis is very important for differential diagnosis of rare causes.
蝎子螫伤后短暂性脑缺血发作1例
目的:中风是一种罕见的并发症,除了发生危及生命的呼吸系统和心血管症状的蝎子蜇伤的结果。在这种情况下,我们提出了一个病人谁有一个短暂性脑缺血发作,发展由于蝎子螫,这在以前的文献中没有提出。病例介绍:我们的病例是一名69岁的男性患者,他早上醒来时感到左腿疼痛。疼痛发生大约1.5小时后,左臂和左腿出现无力和语言障碍。在患者的第一次检查中,检测到构音障碍,面部不对称和左侧力量丧失。弥散磁共振成像、脑层析成像和脑断层血管造影未见明显病变。在体检中,在衣服中发现一只死蝎子,左脚踝处出现轻度红肿。3小时后,患者所有神经功能缺损完全消失。由于检查中未发现任何危险因素,因此认为是蝎子毒液引起的短暂性脑缺血发作。结论:在调查短暂性脑缺血发作的病因时,除了神经学检查和记忆检查外,仔细的体格检查对罕见病因的鉴别诊断非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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