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