TY - JOUR
T1 - Anaphylactic reaction as an etiology of ischemic stroke
T2 - A case report
AU - Hidayat, Rakhmad
AU - Mesiano, Taufik
AU - Kurniawan, Mohammad
AU - Rasyid, Al
AU - Harris, Salim
AU - Zairinal, Ramdinal Aviesena
AU - Mustika, Alyssa Putri
AU - Fathi, Gemia Clarisa
AU - Irfannadhira, Aruni Cahya
N1 - Funding Information:
Acknowledgments: This research was privately funded by authors.
Publisher Copyright:
© 2023 The Authors
PY - 2023/12
Y1 - 2023/12
N2 - 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.
AB - 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.
KW - Anaphylactic
KW - Anaphylaxis Reaction
KW - Hypersensitivity
KW - Ischemic stroke
UR - http://www.scopus.com/inward/record.url?scp=85172192413&partnerID=8YFLogxK
U2 - 10.1016/j.radcr.2023.08.110
DO - 10.1016/j.radcr.2023.08.110
M3 - Article
AN - SCOPUS:85172192413
SN - 1930-0433
VL - 18
SP - 4313
EP - 4317
JO - Radiology Case Reports
JF - Radiology Case Reports
IS - 12
ER -