{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T18:24:56Z","timestamp":1777055096378,"version":"3.51.4"},"reference-count":13,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,25]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>A male patient in his early 40s presented to the emergency department with an acute onset of respiratory distress and facial oedema, indicative of anaphylaxis. These symptoms emerged 2 hours subsequent to a wasp sting on the left side of his face. Despite initial stabilisation, the patient\u2019s state deteriorated into somnolence and disorientation. Notably, he denied any history of seizures, sensory or motor deficits, or bowel\/bladder complications. Physical examination unveiled no focal neurological deficits. Routine laboratory tests and drug screening yielded no significant findings. Subsequent brain MRI with angiography exposed bilateral thalami diffusion restriction, strongly implying an acute infarction within the artery of Percheron territory, an atypical vascular variant. The sequence of events, alongside the absence of other conclusive aetiologies, indicated a wasp sting-induced thalamic infarction driven by vasogenic and thrombogenic effects of inflammatory substances.<\/jats:p>","DOI":"10.1136\/bcr-2023-257667","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T13:25:36Z","timestamp":1712755536000},"page":"e257667","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Wasp sting-induced bilateral thalamic and midbrain infarction"],"prefix":"10.1136","volume":"17","author":[{"given":"Megha","family":"Priyadarshi","sequence":"first","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranveer Singh","family":"Jadon","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naval Kishore","family":"Vikram","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanzin","family":"Spalkit","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, AIIMS, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"key":"2025082802550805000_17.4.e257667.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7141.1365"},{"key":"2025082802550805000_17.4.e257667.2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.66.4.550"},{"key":"2025082802550805000_17.4.e257667.3","first-page":"311","article-title":"Myocardial infarction following a bee sting. 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