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 CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 4  |  Page : 913--915

Acute Disseminated Encephalomyelitis with Baló-like Lesion by Scorpion Sting: Case Report


1 Department of Neurology, Hospital Civil de Guadalajara “Fray Antonio Alcalde, Jalisco, México
2 Department of Radiology, Hospital Civil de Guadalajara “Fray Antonio Alcalde, Jalisco, México
3 Department of Neurology, Hospital Civil de Guadalajara “Fray Antonio Alcalde; Department of Neurosciences, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara, Jalisco, México

Correspondence Address:
Dr. Jose L Ruiz-Sandoval
Servicio de Neurologia. Hospital Civil de Guadalajara gFray Antonio Alcaldeh, Hospital 278. Guadalajara, Postal Code: 44280, Jalisco
México
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.293487

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Acute disseminated encephalomyelitis (ADEM) has been linked to immunizations, viral infections, and occasionally to arthropods stings. Its association with scorpion stings has not been described. A 29-year-old man, who after being stung by a scorpion presented right hemiparesis and language impairment. Brain MRI showed subcortical bihemispheric lesion characteristics of ADEM and a bigger one compatible with Baló concentric sclerosis (BCS). Patient was managed with steroids, showing complete clinical improvement. Magnetic resonance imaging (MRI) after 6 months showed cavitation of the bigger lesion with no new findings. In 2 years of follow-up, there is no clinical relapse or new lesions in MRI. Although cases of ADEM have been reported due to venom of chilopoda and hymenoptera, the scorpion sting can be considered as another new cause; this case being even more relevant due to present a Baló-like lesion in MRI.






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