Stroke After Bee Sting in a Child


Üstebay D. Ü., Aykol D., Güleryüz Uçar H., Hız A. S., Yiş U.

15th European Paediatric Neurology Society Congress, Praha, Czech Republic, 20 June - 24 July 2023, pp.244

  • Publication Type: Conference Paper / Summary Text
  • City: Praha
  • Country: Czech Republic
  • Page Numbers: pp.244
  • Dokuz Eylül University Affiliated: Yes

Abstract

Objective: Local allergic reactions are frequently seen after a bee sting. Serious clinical findings can be rarely observed in sensitive individuals. We present a 14 year old boy who developed basilar artery thrombosis after bee sting. Methods: The patient's clinical complaints, examination findings, laboratory and imaging results, follow-up and treatment results were evaluated. Results: Six hour later after bee sting, symptoms started with blurred vision, headache, dizziness, and vomiting. Neurologic examination revealed gait and speech abnormalities, left central facial paralysis, oculomotor and abducens cranial nerve palsies and confusion. Brain magnetic resonance imaging showed ischemic areas with limited diffusion in the cerebellar hemispheres and in the upper part of the vermis, in the anterior part of the right half of the mesencephalon. Brain computer tomography angiography showed thrombosis in basiler and bilateral superior cerebellar arteries. Exclusive examinations for thrombosis did not reveal a pathologic finding. The patient was treated with low molecular weight heparin and acetylsalicylic acid. The patient was discharged with mild sequelae of left eye ptosis. Conclusions: Although allergic reactions related to bee stings are frequently reported in childhood, rare presentations such as venous sinus thrombosis and stroke should be considered in case of unexpected neurological signs and symptoms. The exact mechanism of thrombosis in cases occury after bee sting is unknown. Keywords: child, bee sting, thrombosis, stroke