Volume 11 - Continuous Publishing
Iran J Neurosurg 2025, 11 - Continuous Publishing: 0-0 |
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Binoy Damodar Thavara1 
, Rajeev Mandaka Parambil *1 , Byjo Valiyaveetil Jose1 , Prem kumar Sasi1 , Shanavas Cholakkal1 , Ebby Sebastian1 , Atul Kale Keshavrao1
, Rajeev Mandaka Parambil *1 , Byjo Valiyaveetil Jose1 , Prem kumar Sasi1 , Shanavas Cholakkal1 , Ebby Sebastian1 , Atul Kale Keshavrao1
1- Department of Neurosurgery, Government Medical College, Kozhikode, India.
Abstract: (2336 Views)
Background and Importance: Only 19 cases of wasp stings causing proven ischemic stroke have been reported. Authors reported a rare case of multiple wasp stings causing bilateral ischemic stroke.
Case Presentation: The authors report a 49-year-old man presenting with multiple (more than 50) wasp stings all over his body. The patient developed loss of consciousness (LOC) and right hemiparesis of Medical Research Council (MRC) grade 1 power. Magnetic resonance imaging (MRI) of the brain revealed a large area of infarction in the left front-temporal-parietal region involving basal ganglia, corona radiata, centrum semiovale, and the right parietal cortex. Computed tomography (CT) scan the next day showed a significant increase in brain edema with a midline shift to the right side. The patient underwent a left front-temporalparietal decompressive craniectomy and duraplasty. His condition gradually improved and underwent cranioplasty five months later.
Conclusion: Multiple wasp stings can cause life-threatening cerebral infarcts. Wasp stings causing large ischemic infarcts require decompressive craniectomy to save the patient. Early radiological evaluation of suspicious cases and prompt medical and surgical intervention are the key to successful treatment of cerebral infarction due to wasp sting
Case Presentation: The authors report a 49-year-old man presenting with multiple (more than 50) wasp stings all over his body. The patient developed loss of consciousness (LOC) and right hemiparesis of Medical Research Council (MRC) grade 1 power. Magnetic resonance imaging (MRI) of the brain revealed a large area of infarction in the left front-temporal-parietal region involving basal ganglia, corona radiata, centrum semiovale, and the right parietal cortex. Computed tomography (CT) scan the next day showed a significant increase in brain edema with a midline shift to the right side. The patient underwent a left front-temporalparietal decompressive craniectomy and duraplasty. His condition gradually improved and underwent cranioplasty five months later.
Conclusion: Multiple wasp stings can cause life-threatening cerebral infarcts. Wasp stings causing large ischemic infarcts require decompressive craniectomy to save the patient. Early radiological evaluation of suspicious cases and prompt medical and surgical intervention are the key to successful treatment of cerebral infarction due to wasp sting
Article number: 8
Type of Study: Case report |
Subject:
Basic Neurosurgery
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