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Scientific paper - Case study
Case report: Rapid-onset parkinsonism after a hornet sting
Frontiers in Neurology, 15 (2024); 1365199.. https://doi.org/10.3389/fneur.2024.1365199
Tomić, Svetlana; Zjalić, Milorad; Popović, Zvonimir; Krivdić Dupan, Zdravka; Heffer, Marija; Snajder Mujkić, Darija; Mandić, Dario; Guljas, Silva; Petrović, Igor N.

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Tomić, S., Zjalić, M., Popović, Z., Krivdić Dupan, Z., Heffer, M., Snajder Mujkić, D. ... Petrović, I. N. (2024). Case report: Rapid-onset parkinsonism after a hornet sting. Frontiers in Neurology, 15.. doi: 10.3389/fneur.2024.1365199

Tomić, Svetlana, et al. "Case report: Rapid-onset parkinsonism after a hornet sting." Frontiers in Neurology, vol. 15, 2024. https://doi.org/10.3389/fneur.2024.1365199

Tomić, Svetlana, Milorad Zjalić, Zvonimir Popović, Zdravka Krivdić Dupan, Marija Heffer, Darija Snajder Mujkić, Dario Mandić, Silva Guljas and Igor N. Petrović. "Case report: Rapid-onset parkinsonism after a hornet sting." Frontiers in Neurology 15 (2024). https://doi.org/10.3389/fneur.2024.1365199

Tomić, S., et al. (2024) 'Case report: Rapid-onset parkinsonism after a hornet sting', Frontiers in Neurology, 15. doi: 10.3389/fneur.2024.1365199

Tomić S, Zjalić M, Popović Z, Krivdić Dupan Z, Heffer M, Snajder Mujkić D, and sur.. Case report: Rapid-onset parkinsonism after a hornet sting. Frontiers in Neurology [Internet]. 2024 [cited 2024 December 03];15. doi: 10.3389/fneur.2024.1365199

S. Tomić, et al., "Case report: Rapid-onset parkinsonism after a hornet sting", Frontiers in Neurology, vol. 15, 2024. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:257557. [Accessed: 03 December 2024]

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Metadata
Title (english)Case report: Rapid-onset parkinsonism after a hornet sting
AuthorSvetlana Tomić
AuthorMilorad Zjalić
AuthorZvonimir Popović
AuthorZdravka Krivdić Dupan
AuthorMarija Heffer
AuthorDarija Snajder Mujkić
AuthorDario Mandić
AuthorSilva Guljas
AuthorIgor N. Petrović
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Molecular Medicine and Biotechnology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Neurological manifestations with basal ganglia involvement following stings are rare and clinically ill-defined conditions. We present a patient with acute parkinsonism non-responsive to levodopa, who developed striatal lesions after a hornet sting. We report his response to immunomodulatory treatment and subsequent clinical and brain magnetic resonance imaging (MRI) follow-up. We also searched the literature for patients with acute extrapyramidal syndromes following an insect sting. Fourteen cases have been published; 12 of them are reviewed here. The majority of cases presented with symmetric akinetic syndrome with axial rigidity and/or gait impairment. Six patients were treated with levodopa and only two of these had a modest response to therapy. Brain MRI/computed tomography scan revealed lesions of the basal ganglia, which resulted in fatal outcome in four patients, whereas only one achieved complete recovery. Clinicians should be aware of this rare but devastating cause of acute-onset parkinsonism and specific clinical presentation of this condition, and should consider prompt and prolonged immunomodulatory treatment to prevent irreversible basal ganglia damage.
Keywords (english)
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleFrontiers in Neurology
Numberingvol. 15, 1365199.
e-ISSN1664-2295
DOIhttps://doi.org/10.3389/fneur.2024.1365199
URN:NBNurn:nbn:hr:184:257557
Publication2024
Document URLhttps://www.frontiersin.org/articles/10.3389/fneur.2024.1365199/full
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-08-13 09:40:45