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Myelopathy After Scorpion Sting
A. K. Bharani, MD;
G. C. Sepaha, MD, FAMS, FIMSA
Departments of Medicine and Neurology M. G. M. Medical College and M. Y. Hospital Indore (M. P.) India
Arch Neurol. 1984;41(11):1130.
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To the Editor.
—We read the article "Myelopathy After Scorpion Sting" published in the ARCHIVES in February 1982.1 It appears that the scorpion sting was followed by a localized cervical cord lesion that gave the impression of partial Brown-Séquard syndrome. Indian physicians have seen complications like hemiplegia2 and pulmonary edema3 following the envenomization, but the aforementioned case seems to be a unique case of transverse myelopathy after the sting.
In this case, such localization could only occur either with a vascular involvement of the cord or as a result of a direct toxic effect of the venom on the cord. Since there was no suggestion of generalized vasculitis or coagulopathy in this patient, the vascular cord lesion seems unlikely.
If the myelopathy was the result of a local effect of the venom on the cord, then the question arises as to how the venom reached there; obviously
. . . [Full Text PDF of this Article]
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