Scorpion sting toxicity

Evidence-based neurology checklist on scorpion sting toxicity: Neuromuscular features Neuromuscular hyperactivity Flailing and thrashing limbs Fasciculations Weakness Autonomic features Cardiorespiratory features Central neurological features Visual features Treatment: scorpion specific antivenom

Neuromuscular features

  • Neuromuscular hyperactivity
  • Flailing and thrashing limbs
  • Fasciculations
  • Weakness

Autonomic features

Cardiorespiratory features

Central neurological features

Visual features

Treatment: scorpion specific antivenom

References

  1. Harris JB, Goonetilleke A. Animal poisons and the nervous system: what the Neurologist needs to know. JNNP 2004; 75(Suppl III):iii40-iii46.
  2. Sengupta S, Dhanapal P, Ravindran RD, Devi N. Cerebral blindness after scorpion sting. J Neuro Opthalmol 2009; 29:154.
  3. Boyer LV, Theodorou AA, Berg RA, et al. Antivenom for critically ill children with neurotoxicity from scorpion stings. N Engl J Med 2009; 360:2090-2098.
  4. Saad K, El-Hamed MAA, Abo-Elela MGM, et al. Neurologic complications in children with scorpionism: a retrospective study in Upper Egypt. J Child Neurol 2017; 32:537-542.

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