Udayakumar N, Rajendiran C, Srinivasan A V
Madras Medical College and Govt. Gen. Hospital, Chennai, India.
Indian J Med Sci. 2006 Jun;60(6):241-4.
Cerebrovascular manifestations are uncommon presentations of scorpion sting in the Indian subcontinent. A prospective study was carried out on 50 patients with scorpion sting referred to the Government General Hospital during the period from April 2004 to March 2005. In all the patients, detailed history, physical examination with a specific neurological examination and routine biochemical testing and fundus examination were done. Computerized Tomography (CT) and Magnetic Resonance Imaging (MRI) 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 four patients (8%). Hemorrhagic stroke was noted in two patients (4%) and thrombotic stroke was noted in two patients (4%). The mean time of presentation of neurological symptoms was 2 days. Stroke has been a common presentation in our series (8%). Contrary to world literature, there have been no reports of cranial nerve palsies or neuromuscular involvement in our series.
在印度次大陆，脑血管表现是蝎子蜇伤的罕见症状。2004年4月至2005年3月期间，对转诊至政府总医院的50例蝎子蜇伤患者进行了一项前瞻性研究。对所有患者都进行了详细病史询问、包括特定神经学检查的体格检查、常规生化检测和眼底检查。对有神经功能缺损的患者进行了计算机断层扫描（CT）和磁共振成像（MRI）检查。所有这些患者还接受了针对中风的全面血液学、风湿病学和心血管系统检查。4例患者（8%）出现脑血管受累。2例患者（4%）出现出血性中风，2例患者（4%）出现血栓性中风。出现神经症状的平均时间为2天。中风在我们的系列研究中是一种常见表现（8%）。与世界文献相反，我们的系列研究中没有关于颅神经麻痹或神经肌肉受累的报告。
