Introduction Cerebrovascular manifestations are uncommon presentations of scorpion sting in the Indian subcontinent. Encephalopathy, cerebral edema, subarachnoid hemorrhage, non-hemorrhagic strokes, and cortical necrosis are a few CNS complications described in the medical literature due to scorpion envenomation. Case description We report a rare case of scorpion envenomation in a 40-year old, non-hypertensive farmer, who presented in an unconscious state. Non-contrast CT head revealed intracerebral hemorrhages in left temporoparietal lobe extending into left basal ganglia with intraventricular extension. Discussion and evaluation Toxin-induced autonomic storm is mostly responsible for the acute hypertensive crisis in affected individuals leading to stroke (commonly cerebral infarct) as a CNS complication. Conclusion Basal ganglia bleed following scorpion sting is an extremely rare scenario which is usually fatal as was in our case. Early suspicion and prompt institution of treatment (prazosin) is crucial in the management of intracranial bleed secondary to scorpion sting.

中文翻译：

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继发于蝎子蜇伤的基底节出血：一种致命的表现

介绍 脑血管表现是蝎蜇在印度次大陆的罕见表现。脑病、脑水肿、蛛网膜下腔出血、非出血性中风和皮质坏死是医学文献中描述的几种由于蝎毒引起的中枢神经系统并发症。病例描述 我们报告了一例罕见的蝎毒感染病例，该病例是一名 40 岁的非高血压农民，他在昏迷状态下就诊。平扫头颅 CT 显示左侧颞顶叶脑内出血延伸至左侧基底神经节，并伴有脑室内扩展。讨论和评估 毒素诱导的自主神经风暴是受影响个体发生急性高血压危象的主要原因，导致中风（通常是脑梗塞）作为 CNS 并发症。结论 蝎子刺伤后基底神经节出血是一种极为罕见的情况，在我们的案例中通常是致命的。早期怀疑和及时治疗（哌唑嗪）对于治疗继发于蝎子蜇伤的颅内出血至关重要。