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Cerebral Hematoma Following Scorpion Envenomation: A Case Report

Received: 13 December 2023    Accepted: 25 December 2023    Published: 8 January 2024
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Abstract

Introduction: Scorpion stings are relatively common phenomenon encountered in many countries. Neurological complications post scorpion envenomation (SE) are rare and indicate a severe envenomation. We report the case of an 81-year-old, female, left-handed stung by a scorpion. Case presentation: She presented with severe headaches, vomiting, left hemiparesis following a scorpion sting. Neurological examination found altered consciousness with a Glasgow Coma Scale score of 9/15, motor aphasia, neck stiffness, facial asymmetry, left hemiparesis with absent tendinous reflexes on the left side, and a scar of the scorpion sting on the right thumb. Brain CT-scan showed spontaneous thalamo-caudate hyperdensity extending to the ventricles. The disease course was marked by clinical deterioration, leading to her death on the third day of hospitalization. Discussion: Cerebral hematomas are severe complications rarely described following scorpion envenomation.

Published in American Journal of Psychiatry and Neuroscience (Volume 12, Issue 1)
DOI 10.11648/j.ajpn.20241201.12
Page(s) 6-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Envenomation, Scorpion Sting, Cerebral Hemorrhage, Gabriel Touré Hospital, Mali

References
[1] L. Ouanes-Besbes, F. Dachraoui, N. Nciri, I. Ouanes, M. Fkih Hassen, S. Marghli, et al. Envenimation scorpionique grave: vers un traitement à la carte de la défaillance circulatoire. Réanimation 2008; 17, (7), 676-680.
[2] Organisation mondiale de la santé (OMS). Caractérisation des venins et standardisation des sérums antivenimeux: progrès réalisés. Publication Offset de l’OMS 1981, N° 58.
[3] C. Dewar J.-G. Meusnier S. Larréché. Envenimation scorpionique chez des militaires français en poste isolé au Nord Mali: à propos de cinq cas. Ann Fr Med Urgence 2016; 6: 431-434.
[4] Chippaux J-P. Emerging options for the managementof scorpion stings. Drug Des Devel Ther 2012; 165, http://dx.doi.org/10.2147/DDDT.S24754.
[5] M. Elkhayari, A. Hachimi, A. Ziadi, M. Abdenasser Samkaoui. AVC ische´mique suite a` une morsure de scorpion. Rev neurol 2013; 519–522.
[6] Goyffon M. Scorpion stings in sub-Saharan Africa. Bull Soc Pathol Exot 2002; 95(3): 191-3.
[7] Iken I, Achour S, Rhalem N, Soulaymani B R. Envenimation scorpionique propriétés du venin, mécanisme d’action et physiopathologie. Toxicologie Maroc 2017, N°34.
[8] Bahloul M, Regaieg K, Chabchoub I, Kammoun M, Chtara K, Bouaziz M. Les envenimations scorpioniques graves: physiopathologie et rôle de l’inflammation dans la défaillance multiviscérale. Med Sante Trop 2017; 27: 214-221. doi: 10.1684/mst.2017.0688.
[9] Godoy DA, Badenes R, Seifi S, Salehi S, Seifi A. Neurological and Systemic Manifestations of Severe Scorpion Envenomation. Cureus 2021; 13(4): e14715. doi: 10.7759/cureus.14715.
[10] Rai M, et al (Rai M, Shukla RC, Varma DN, Bajpai HS, Gupta SK. Intracerebral hemorrhage following scorpion bite. Neurology 1990; 40: 1801.
[11] A. Yalcouyé, S. H. Diallo, S. Diallo, G. Landouré, T. Bagayoko, O. Maiga, Z. Fomba, D. Djibo, C. O. Guinto, Y. Maiga. Hémorragie cérébrale post envenimation par morsure de serpent responsable d’une cécité irréversible chez un enfant de 6 ans au mali. Revue de la société francophone de médecine tropicale et santé internationale 2021. DOI: 10.48327/mtsibulletin.2021.116.
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  • APA Style

    Salimata, D., Hassane, D. S., Awa, C., Abdoulaye, Y., Tenimba, B., et al. (2024). Cerebral Hematoma Following Scorpion Envenomation: A Case Report. American Journal of Psychiatry and Neuroscience, 12(1), 6-8. https://doi.org/10.11648/j.ajpn.20241201.12

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    ACS Style

    Salimata, D.; Hassane, D. S.; Awa, C.; Abdoulaye, Y.; Tenimba, B., et al. Cerebral Hematoma Following Scorpion Envenomation: A Case Report. Am. J. Psychiatry Neurosci. 2024, 12(1), 6-8. doi: 10.11648/j.ajpn.20241201.12

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    AMA Style

    Salimata D, Hassane DS, Awa C, Abdoulaye Y, Tenimba B, et al. Cerebral Hematoma Following Scorpion Envenomation: A Case Report. Am J Psychiatry Neurosci. 2024;12(1):6-8. doi: 10.11648/j.ajpn.20241201.12

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  • @article{10.11648/j.ajpn.20241201.12,
      author = {Diallo Salimata and Diallo Seybou Hassane and Coulibaly Awa and Yalcouyé Abdoulaye and Bagayogo Tenimba and Saliou Mahamadou and Bocoum Abdoulaye and Daou Mariam and Dao Karim and Togo Mamadou and Djibo Django and Maiga Youssoufa},
      title = {Cerebral Hematoma Following Scorpion Envenomation: A Case Report},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {12},
      number = {1},
      pages = {6-8},
      doi = {10.11648/j.ajpn.20241201.12},
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      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20241201.12},
      abstract = {Introduction: Scorpion stings are relatively common phenomenon encountered in many countries. Neurological complications post scorpion envenomation (SE) are rare and indicate a severe envenomation. We report the case of an 81-year-old, female, left-handed stung by a scorpion. Case presentation: She presented with severe headaches, vomiting, left hemiparesis following a scorpion sting. Neurological examination found altered consciousness with a Glasgow Coma Scale score of 9/15, motor aphasia, neck stiffness, facial asymmetry, left hemiparesis with absent tendinous reflexes on the left side, and a scar of the scorpion sting on the right thumb. Brain CT-scan showed spontaneous thalamo-caudate hyperdensity extending to the ventricles. The disease course was marked by clinical deterioration, leading to her death on the third day of hospitalization. Discussion: Cerebral hematomas are severe complications rarely described following scorpion envenomation.
    },
     year = {2024}
    }
    

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    AB  - Introduction: Scorpion stings are relatively common phenomenon encountered in many countries. Neurological complications post scorpion envenomation (SE) are rare and indicate a severe envenomation. We report the case of an 81-year-old, female, left-handed stung by a scorpion. Case presentation: She presented with severe headaches, vomiting, left hemiparesis following a scorpion sting. Neurological examination found altered consciousness with a Glasgow Coma Scale score of 9/15, motor aphasia, neck stiffness, facial asymmetry, left hemiparesis with absent tendinous reflexes on the left side, and a scar of the scorpion sting on the right thumb. Brain CT-scan showed spontaneous thalamo-caudate hyperdensity extending to the ventricles. The disease course was marked by clinical deterioration, leading to her death on the third day of hospitalization. Discussion: Cerebral hematomas are severe complications rarely described following scorpion envenomation.
    
    VL  - 12
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Author Information
  • Service de Neurologie, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali

  • Service de Neurologie, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali; Faculté de Médecine et d’odontostomatologie, Université des Sciences Techniques et Technologiques de Bamako, Bamako, Mali

  • Service de Neurologie, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali

  • Faculté de Médecine et d’odontostomatologie, Université des Sciences Techniques et Technologiques de Bamako, Bamako, Mali

  • Service de Neurologie, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali

  • Service de Médecine Interne, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali

  • Faculté de Médecine et d’odontostomatologie, Université des Sciences Techniques et Technologiques de Bamako, Bamako, Mali

  • Service de Neurologie, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali

  • Service de Médecine Interne, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali

  • Service de Médecine Interne, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali

  • Service d’anesthésie réanimation, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali

  • Service de Neurologie, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali; Faculté de Médecine et d’odontostomatologie, Université des Sciences Techniques et Technologiques de Bamako, Bamako, Mali

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