Hidayat Rakhmad, Mesiano Taufik, Kurniawan Mohammad, Rasyid Al, Harris Salim, Zairinal Ramdinal Aviesena, Mustika Alyssa Putri, Fathi Gemia Clarisa, Irfannadhira Aruni Cahya
Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Radiol Case Rep. 2023 Sep 26;18(12):4313-4317. doi: 10.1016/j.radcr.2023.08.110. eCollection 2023 Dec.
A 28-year-old man was brought to the emergency room (ER) with a history of decrease of consciousness 30 minutes before admission. In the previous 1 hour, the patient felt bitten or stabbed in the left temple area. Physical examination showed signs of N VII paresis, upper extremity motoric 3/2 (right/left) and lower extremity 3/2 (right/left), positive left extremity hypesthesia. Noncontrast MRI brain examination showed increased DWI signal intensity, suggesting diffusion restriction in bilateral centrum semiovale, bilateral posterior crus internal capsule, and bilateral corpus callosum leading to suspicion of acute-hyperacute ischemia. The therapy given while in the emergency room was IVFD asering, IV dexamethasone 5 mg, IV diphenhydramine 10 mg, oral paracetamol 500 mg, oral aspirin 80 mg, oral clopidogrel 75 mg, and oral atorvastatin 40 mg. We report a case of stroke due to an anaphylactic reaction in an effort to add to the point of view if the same case occurs.
一名28岁男性在入院前30分钟因意识减退被送往急诊室。在入院前1小时，患者感觉左侧颞部被咬伤或刺伤。体格检查显示面神经麻痹体征，上肢肌力3/2（右侧/左侧），下肢肌力3/2（右侧/左侧），左侧肢体感觉减退阳性。脑部非增强MRI检查显示弥散加权成像（DWI）信号强度增加，提示双侧半卵圆中心、双侧内囊后肢和双侧胼胝体存在弥散受限，怀疑为急性-超急性缺血。在急诊室给予的治疗包括静脉输注生理盐水、静脉注射地塞米松5毫克、静脉注射苯海拉明10毫克、口服对乙酰氨基酚500毫克、口服阿司匹林80毫克、口服氯吡格雷75毫克和口服阿托伐他汀40毫克。我们报告一例因过敏反应导致的中风病例，旨在为类似病例的处理提供更多观点。
