Bilateral ischaemic optic neuropathy and stroke after multiple bee stings

Unexpected complication of bee sting; left middle cerebral artery infarction

“…They can bring about platelet aggregation [4]. Both thromboxane and leucotrienes have been shown to cause vasoconstriction resulting in cerebral infarction [7]. Similar to acute myocardial infarction after bee stings, it has been recommended that vasoconstriction, secondary to the mediators released after the sting and aggravated by exogenous adrenaline and platelet aggregation, contribute to cerebral ischemia [3].…”

“…They demand a long-lasting monitoring. Mild and transient local symptoms or life-threatening allergic reactions happen usually in bee sting cases [6][7][8][9][10][11][12]. Neurologic complications include seizure, hemiparesis, aphasia, apraxia, dysarthria, ataxia, coma and hemichorea [3][4][5][6][7][8][9][10][11][12][13][14].…”

“…Neurologic complications after bee sting are even rarer [4]. There are few cases of stroke related to bee stings reported in the literature [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. We report a left middle cerebral artery (MCA) stroke in a 73-year-old right-handed woman following bee stings.…”

An acute ischemic stroke after multiple bee stings in an elderly patient

“…Reported neurologic complications include seizure, hemiparesis, aphasia, apraxia, dysarthria, ataxia, and coma. [9][10][11] The exact pathophysiology explaining the associated cerebral infarction is unknown. However the five major causes of cerebral ischemia are-vascular thrombosis, cerebral embolism, hypotension, hypertensive hemorrhage, and anoxia/hypoxia.…”

Concurrent acute coronary syndrome and ischemic stroke following multiple bee stings

“…We found three case reports of ischemic stroke [6,8,9]. These patients had typical stroke syndromes which developed between 2 h and two days after the stings; they also had injuries in the CNS outside the area causing the primary deficit.…”