Transient Ischemic Attack After Scorpion Sting: A Case Report

Yıl 2024, Cilt: 7 Sayı: 1, 43 - 45, 31.03.2024

Memet Aslanyavrusu , Merva Tuna , Serhat Koyuncu

https://doi.org/10.54996/anatolianjem.1277253

Cited By: 1

Öz

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: 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 magnetic resonance imaging, brain computed tomography, and brain computed tomography 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.

Anahtar Kelimeler

Transient ischemic attack, scorpion sting, venom

Akrep Sokması Sonrası Gelişen Geçici İskemik Atak

Öz

Amaç: Akrep sokmasına bağlı gelişen akrep zehirlenmesi sonucu, yaşamı tehdit eden solunum ve kardiovasküler bulgular yanında inme nadir görülen bir komplikasyondur. Bu olgu sunumunda literatürde nadir sunulan akrep sokmasına sekonder, geçici iskemik atak geçiren bir hastayı sunduk.

Olgu: Olgumuz 69 yaşında erkek hasta sabah uyandığında sol bacağında bir ağrı hissetmiş. Bu ağrıdan yaklaşık 1.5 saat sonra gelişen sol kol ve bacakta güçsüzlük, konuşma bozukluğu gelişmiş. Hastanın yapılan ilk muayenesinde dizarti, fasial asimetri ve sol tarafında güç kaybı tespit edildi. Diffüzyon manyetik rezonans görüntüleme, beyin tomografisi ve beyin tomografik anjiosunda patoloji izlenmedi. Yapılan fizik muayenede hastanın kıyafetleri arasında ölü akrep ve sol ayak bileği düzeyinde hafif derecede kızarıklık ve şişlik izlendi. Hastadaki tüm nörolojik defisitler 3 saat sonra tamamen düzeldi. Yapılan tetkiklerde risk faktörü saptanmaması nedeni ile akrep zehrine bağlı geçici iskemik atak olduğu düşünüldü.

Sonuç: Geçici iskemik atak etyolojisi araştırılırken nörolojik muayene ve anamnezin yanında dikkatli fizik muayene yapılması nadir nedenlerin ayırıcı tanısı açısından çok önemlidir.

Anahtar Kelimeler

Geçici iskemik atak, akrep sokması, zehir

Destekleyen Kurum

Sağlık Bilimleri Üniversitesi, Kayseri Şehir Hastanesi

Kaynakça

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