Anaphylactic reaction as an etiology of ischemic stroke: A case report
A 28-year-old man was brought to the emergency room (ER) with a history of decrease of consciousness 30 minutes before admission. In the previous 1 hour, the patient felt bitten or stabbed in the left temple area. Physical examination showed signs of N VII paresis, upper extremity motoric 3/2 (right...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323006295 |
| _version_ | 1827787316969603072 |
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| author | Rakhmad Hidayat Taufik Mesiano Mohammad Kurniawan Al Rasyid Salim Harris Ramdinal Aviesena Zairinal Alyssa Putri Mustika Gemia Clarisa Fathi Aruni Cahya Irfannadhira |
| author_facet | Rakhmad Hidayat Taufik Mesiano Mohammad Kurniawan Al Rasyid Salim Harris Ramdinal Aviesena Zairinal Alyssa Putri Mustika Gemia Clarisa Fathi Aruni Cahya Irfannadhira |
| author_sort | Rakhmad Hidayat |
| collection | DOAJ |
| description | A 28-year-old man was brought to the emergency room (ER) with a history of decrease of consciousness 30 minutes before admission. In the previous 1 hour, the patient felt bitten or stabbed in the left temple area. Physical examination showed signs of N VII paresis, upper extremity motoric 3/2 (right/left) and lower extremity 3/2 (right/left), positive left extremity hypesthesia. Noncontrast MRI brain examination showed increased DWI signal intensity, suggesting diffusion restriction in bilateral centrum semiovale, bilateral posterior crus internal capsule, and bilateral corpus callosum leading to suspicion of acute-hyperacute ischemia. The therapy given while in the emergency room was IVFD asering, IV dexamethasone 5 mg, IV diphenhydramine 10 mg, oral paracetamol 500 mg, oral aspirin 80 mg, oral clopidogrel 75 mg, and oral atorvastatin 40 mg. We report a case of stroke due to an anaphylactic reaction in an effort to add to the point of view if the same case occurs. |
| first_indexed | 2024-03-11T16:47:33Z |
| format | Article |
| id | doaj.art-c2bbd228ef9a4d66a58451200b2563de |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-11T16:47:33Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-c2bbd228ef9a4d66a58451200b2563de2023-10-22T04:48:44ZengElsevierRadiology Case Reports1930-04332023-12-01181243134317Anaphylactic reaction as an etiology of ischemic stroke: A case reportRakhmad Hidayat0Taufik Mesiano1Mohammad Kurniawan2Al Rasyid3Salim Harris4Ramdinal Aviesena Zairinal5Alyssa Putri Mustika6Gemia Clarisa Fathi7Aruni Cahya Irfannadhira8Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Universitas Indonesia Hospital, Jakarta, Indonesia; Corresponding author.Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Universitas Indonesia Hospital, Jakarta, IndonesiaFaculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaUniversitas Indonesia Hospital, Jakarta, IndonesiaFaculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaA 28-year-old man was brought to the emergency room (ER) with a history of decrease of consciousness 30 minutes before admission. In the previous 1 hour, the patient felt bitten or stabbed in the left temple area. Physical examination showed signs of N VII paresis, upper extremity motoric 3/2 (right/left) and lower extremity 3/2 (right/left), positive left extremity hypesthesia. Noncontrast MRI brain examination showed increased DWI signal intensity, suggesting diffusion restriction in bilateral centrum semiovale, bilateral posterior crus internal capsule, and bilateral corpus callosum leading to suspicion of acute-hyperacute ischemia. The therapy given while in the emergency room was IVFD asering, IV dexamethasone 5 mg, IV diphenhydramine 10 mg, oral paracetamol 500 mg, oral aspirin 80 mg, oral clopidogrel 75 mg, and oral atorvastatin 40 mg. We report a case of stroke due to an anaphylactic reaction in an effort to add to the point of view if the same case occurs.http://www.sciencedirect.com/science/article/pii/S1930043323006295AnaphylacticIschemic strokeAnaphylaxis ReactionHypersensitivity |
| spellingShingle | Rakhmad Hidayat Taufik Mesiano Mohammad Kurniawan Al Rasyid Salim Harris Ramdinal Aviesena Zairinal Alyssa Putri Mustika Gemia Clarisa Fathi Aruni Cahya Irfannadhira Anaphylactic reaction as an etiology of ischemic stroke: A case report Radiology Case Reports Anaphylactic Ischemic stroke Anaphylaxis Reaction Hypersensitivity |
| title | Anaphylactic reaction as an etiology of ischemic stroke: A case report |
| title_full | Anaphylactic reaction as an etiology of ischemic stroke: A case report |
| title_fullStr | Anaphylactic reaction as an etiology of ischemic stroke: A case report |
| title_full_unstemmed | Anaphylactic reaction as an etiology of ischemic stroke: A case report |
| title_short | Anaphylactic reaction as an etiology of ischemic stroke: A case report |
| title_sort | anaphylactic reaction as an etiology of ischemic stroke a case report |
| topic | Anaphylactic Ischemic stroke Anaphylaxis Reaction Hypersensitivity |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323006295 |
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