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VOLUME 12 , ISSUE 1 ( March, 2008 ) > List of Articles

RESEARCH ARTICLE

Cerebrovascular manifestations and alteration of coagulation profile in scorpion sting: A case series

Prithwis Bhattacharya, Suman Sarkar, Anil Paswan

Keywords : Disseminated intravascular coagulation, scorpion sting, stroke

Citation Information : Bhattacharya P, Sarkar S, Paswan A. Cerebrovascular manifestations and alteration of coagulation profile in scorpion sting: A case series. Indian J Crit Care Med 2008; 12 (1):15-17.

DOI: 10.4103/0972-5229.40944

License: CC BY-ND 3.0

Published Online: 01-03-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Cerebrovascular manifestations are uncommon presentations of scorpion sting in the Indian subcontinent. A prospective study was carried out on 42 patients with scorpion sting in the intensive care unit (ICU) of the Institute of Medical Sciences, Banaras Hindu University, Varanasi-05, INDIA, during the period of May 2005 to October 2007. In all the patients detailed history, physical examination with a specific neurological examination and routine biochemical testing and fundus examination were done. Computerized tomography and magnetic resonance imaging were done in cases with neurological deficit. All these patients also underwent a complete hematological, rheumatologic and cardiovascular work-up for stroke. Cerebrovascular involvement was noted in three patients (7.15%). Hemorrhagic stroke was noted in two patients (4.77%) and thrombotic stroke was noted in one patient (2.39%). The mean time of presentation of neurological symptoms was 3 days. Contrary to world literature, there have been no reports of cranial nerve palsies or neuromuscular involvement in our series.


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