ACUTE AND DELAYED CEREBRAL INFARCTION AFTER WASP STING ANAPHYLAXIS

被引:28
作者
RIGGS, JE
KETONEN, LM
WYMER, JP
BARBANO, RL
VALANNE, LK
BODENSTEINER, JB
机构
[1] W VIRGINIA UNIV,SCH MED,DEPT PEDIAT,MORGANTOWN,WV 26506
[2] W VIRGINIA UNIV,SCH MED,DEPT MED,MORGANTOWN,WV 26506
[3] W VIRGINIA UNIV,SCH MED,DEPT COMMUNITY MED,MORGANTOWN,WV 26506
[4] UNIV ROCHESTER,SCH MED & DENT,DEPT RADIOL,ROCHESTER,NY 14642
[5] UNIV ROCHESTER,SCH MED & DENT,DEPT NEUROL,ROCHESTER,NY 14642
关键词
CEREBRAL INFARCTION; WASP STING; ANAPHYLAXIS;
D O I
10.1097/00002826-199408000-00011
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 52-year-old man developed a severe anaphylactic reaction after a wasp sting. Slurred speech and left hemiparesis were noted a few hours later. Three-and-one-half weeks later, he became acutely obtunded and quadriparetic. Angiographic studies demonstrated complete and near-complete occlusions of the right and left internal carotid arteries, respectively. A mechanism is suggested for delayed ischemic stroke after wasp sting anaphylaxis that involves cerebrovascular sympathetic innervation.
引用
收藏
页码:384 / 388
页数:5
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