A Rare Case of Multiple Wasp Stings Causing Bilateral Ischemic Stroke

Background and Importance: Only ۱۹ cases of wasp stings causing proven ischemic stroke have been reported. Authors reported a rare case of multiple wasp stings causing bilateral ischemic stroke. Case Presentation: The authors report a ۴۹-year-old man presenting with multiple (more than ۵۰) wasp stings all over his body. The patient developed loss of consciousness (LOC) and right hemiparesis of Medical Research Council (MRC) grade ۱ power. Magnetic resonance imaging (MRI) of the brain revealed a large area of infarction in the left front-temporal-parietal region involving basal ganglia, corona radiata, centrum semiovale, and the right parietal cortex. Computed tomography (CT) scan the next day showed a significant increase in brain edema with a midline shift to the right side. The patient underwent a left front-temporalparietal decompressive craniectomy and duraplasty. His condition gradually improved and underwent cranioplasty five months later. Conclusion: Multiple wasp stings can cause life-threatening cerebral infarcts. Wasp stings causing large ischemic infarcts require decompressive craniectomy to save the patient. Early radiological evaluation of suspicious cases and prompt medical and surgical intervention are the key to successful treatment of cerebral infarction due to wasp sting

Keywords:

Decompressive craniectomy , Glasgow Coma Scale , Hymenopteran , Stroke , Wasp sting