{"id":"https://openalex.org/W7166355134","doi":"https://doi.org/10.5811/cpcem.50776","title":"Cerebral Kounis Syndrome\u2014A Rare Case Report of Cerebral Vasospasm Following Anaphylaxis","display_name":"Cerebral Kounis Syndrome\u2014A Rare Case Report of Cerebral Vasospasm Following Anaphylaxis","publication_year":2026,"publication_date":"2026-06-27","ids":{"openalex":"https://openalex.org/W7166355134","doi":"https://doi.org/10.5811/cpcem.50776","pmid":"https://pubmed.ncbi.nlm.nih.gov/42647927","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13518044"},"language":"en","primary_location":{"id":"doi:10.5811/cpcem.50776","doi":"https://doi.org/10.5811/cpcem.50776","is_oa":true,"landing_page_url":"https://doi.org/10.5811/cpcem.50776","pdf_url":null,"source":{"id":"https://openalex.org/S4210236172","display_name":"Clinical Practice and Cases in Emergency Medicine","issn_l":"2474-252X","issn":["2474-252X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Practice and Cases in Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.5811/cpcem.50776","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5130894805","display_name":"Mohd Helmie Ismail","orcid":"https://orcid.org/0000-0002-1890-5233","observed_orcids":["https://orcid.org/0000-0002-1890-5233"]},"institutions":[{"id":"https://openalex.org/I4164984","display_name":"International Islamic University Malaysia","ror":"https://ror.org/03s9hs139","country_code":"MY","type":"education","lineage":["https://openalex.org/I4164984"]}],"countries":["MY"],"is_corresponding":true,"raw_author_name":"Mohd Helmie Ismail","raw_affiliation_strings":["International Islamic University Malaysia, Kulliyyah of Medicine Kuantan, Department of Emergency Medicine, Pahang, Malaysia","Sultan Ahmad Shah Medical Centre @IIUM, Department of Emergency and Trauma, Kuantan, Pahang, Malaysia"],"raw_orcid":"https://orcid.org/0000-0002-1890-5233","affiliations":[{"raw_affiliation_string":"International Islamic University Malaysia, Kulliyyah of Medicine Kuantan, Department of Emergency Medicine, Pahang, Malaysia","institution_ids":["https://openalex.org/I4164984"]},{"raw_affiliation_string":"Sultan Ahmad Shah Medical Centre @IIUM, Department of Emergency and Trauma, Kuantan, Pahang, Malaysia","institution_ids":["https://openalex.org/I4164984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040870267","display_name":"Sadesvaran Muniandy","orcid":"https://orcid.org/0000-0001-9796-8381","observed_orcids":["https://orcid.org/0000-0001-9796-8381"]},"institutions":[{"id":"https://openalex.org/I4210123446","display_name":"Hospital Kemaman","ror":"https://ror.org/038n2v518","country_code":"MY","type":"healthcare","lineage":["https://openalex.org/I4210123446"]}],"countries":["MY"],"is_corresponding":false,"raw_author_name":"Sadesvaran Muniandy","raw_affiliation_strings":["Hospital Kemaman, Emergency and Trauma Department, Kemaman, Terengganu, Malaysia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Kemaman, Emergency and Trauma Department, Kemaman, Terengganu, Malaysia","institution_ids":["https://openalex.org/I4210123446"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5132710230","display_name":"MUhammad Shafiq Azmi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210123446","display_name":"Hospital Kemaman","ror":"https://ror.org/038n2v518","country_code":"MY","type":"healthcare","lineage":["https://openalex.org/I4210123446"]}],"countries":["MY"],"is_corresponding":false,"raw_author_name":"Muhammad Shafiq Azmi","raw_affiliation_strings":["Hospital Kemaman, Emergency and Trauma Department, Kemaman, Terengganu, Malaysia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Kemaman, Emergency and Trauma Department, Kemaman, Terengganu, Malaysia","institution_ids":["https://openalex.org/I4210123446"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5130894805"],"corresponding_institution_ids":["https://openalex.org/I4164984"],"apc_list":{"value":500,"currency":"USD","value_usd":500},"apc_paid":{"value":500,"currency":"USD","value_usd":500},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"3","first_page":"291","last_page":"294"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10634","display_name":"Food Allergy and Anaphylaxis Research","score":0.46219998598098755,"subfield":{"id":"https://openalex.org/subfields/2723","display_name":"Immunology and Allergy"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10634","display_name":"Food Allergy and Anaphylaxis Research","score":0.46219998598098755,"subfield":{"id":"https://openalex.org/subfields/2723","display_name":"Immunology and Allergy"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12464","display_name":"Neurological Complications and Syndromes","score":0.1680999994277954,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10420","display_name":"Intracranial Aneurysms: Treatment and Complications","score":0.13269999623298645,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/kounis-syndrome","display_name":"Kounis syndrome","score":0.9459999799728394},{"id":"https://openalex.org/keywords/cerebral-vasospasm","display_name":"cerebral vasospasm","score":0.9800000190734863},{"id":"https://openalex.org/keywords/anaphylaxis","display_name":"anaphylaxis","score":0.9990000128746033},{"id":"https://openalex.org/keywords/stroke-mimics","display_name":"stroke mimics","score":0.7620000243186951},{"id":"https://openalex.org/keywords/hemiparesis","display_name":"hemiparesis","score":0.8539999723434448},{"id":"https://openalex.org/keywords/epinephrine","display_name":"epinephrine","score":0.8510000109672546},{"id":"https://openalex.org/keywords/hypersensitivity","display_name":"hypersensitivity","score":0.8700000047683716},{"id":"https://openalex.org/keywords/cerebrovascular-events","display_name":"cerebrovascular events","score":0.9419999718666077}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9316999912261963},{"id":"https://openalex.org/C2777609351","wikidata":"https://www.wikidata.org/wiki/Q3089469","display_name":"Sequela","level":2,"score":0.63919997215271},{"id":"https://openalex.org/C2776820941","wikidata":"https://www.wikidata.org/wiki/Q5064103","display_name":"Cerebral vasospasm","level":4,"score":0.6241000294685364},{"id":"https://openalex.org/C2775933838","wikidata":"https://www.wikidata.org/wiki/Q168800","display_name":"Anaphylaxis","level":3,"score":0.5760999917984009},{"id":"https://openalex.org/C2775859304","wikidata":"https://www.wikidata.org/wiki/Q132621","display_name":"Epinephrine","level":2,"score":0.5734000205993652},{"id":"https://openalex.org/C2781372229","wikidata":"https://www.wikidata.org/wiki/Q6434647","display_name":"Kounis syndrome","level":4,"score":0.5548999905586243},{"id":"https://openalex.org/C2778506911","wikidata":"https://www.wikidata.org/wiki/Q2849606","display_name":"Vasospasm","level":3,"score":0.5526999831199646},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.5304999947547913},{"id":"https://openalex.org/C2776161765","wikidata":"https://www.wikidata.org/wiki/Q5172199","display_name":"Coronary vasospasm","level":4,"score":0.46560001373291016},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.39340001344680786},{"id":"https://openalex.org/C2776042228","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma","level":2,"score":0.34790000319480896},{"id":"https://openalex.org/C2777698277","wikidata":"https://www.wikidata.org/wiki/Q266018","display_name":"Acute coronary syndrome","level":3,"score":0.33899998664855957},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3327000141143799},{"id":"https://openalex.org/C2776882386","wikidata":"https://www.wikidata.org/wiki/Q2291130","display_name":"Hemiparesis","level":3,"score":0.2809000015258789},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.2535000145435333},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.250900000333786}],"mesh":[],"locations_count":6,"locations":[{"id":"doi:10.5811/cpcem.50776","doi":"https://doi.org/10.5811/cpcem.50776","is_oa":true,"landing_page_url":"https://doi.org/10.5811/cpcem.50776","pdf_url":null,"source":{"id":"https://openalex.org/S4210236172","display_name":"Clinical Practice and Cases in Emergency Medicine","issn_l":"2474-252X","issn":["2474-252X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Practice and Cases in Emergency Medicine","raw_type":"journal-article"},{"id":"pmid:42647927","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42647927","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical practice and cases in emergency medicine","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:13518044","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13518044/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clin Pract Cases Emerg Med","raw_type":"Text"},{"id":"pmh:oai:generic.eprints.org:128075","doi":null,"is_oa":false,"landing_page_url":"http://irep.iium.edu.my/128075/13/128075_Cerebral%20kounis%20syndrome.pdf","pdf_url":"http://irep.iium.edu.my/128075/13/128075_Cerebral%20kounis%20syndrome.pdf","source":{"id":"https://openalex.org/S4306400713","display_name":"The International Islamic University Malaysia Repository (The International Islamic University Malaysia)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4164984","host_organization_name":"International Islamic University Malaysia","host_organization_lineage":["https://openalex.org/I4164984"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"PeerReviewed"},{"id":"pmh:oai:generic.eprints.org:130888","doi":null,"is_oa":true,"landing_page_url":"https://irep.iium.edu.my/130888/8/130888_Cerebral%20Kounis%20Syndrome.pdf","pdf_url":"https://irep.iium.edu.my/130888/9/130888_Scopus%20-%20Document%20Details.pdf","source":{"id":"https://openalex.org/S4306400713","display_name":"The International Islamic University Malaysia Repository (The International Islamic University Malaysia)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4164984","host_organization_name":"International Islamic University Malaysia","host_organization_lineage":["https://openalex.org/I4164984"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:doaj.org/article:4f114f49b88645f48c31dacb7c0706dc","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/4f114f49b88645f48c31dacb7c0706dc","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Clinical Practice and Cases in Emergency Medicine, Vol 10, Iss 3, Pp 291-294 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.5811/cpcem.50776","doi":"https://doi.org/10.5811/cpcem.50776","is_oa":true,"landing_page_url":"https://doi.org/10.5811/cpcem.50776","pdf_url":null,"source":{"id":"https://openalex.org/S4210236172","display_name":"Clinical Practice and Cases in Emergency Medicine","issn_l":"2474-252X","issn":["2474-252X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Practice and Cases in Emergency Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W7166355134.pdf"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W2020793485","https://openalex.org/W2027866398","https://openalex.org/W2045373761","https://openalex.org/W2046382463","https://openalex.org/W2046980287","https://openalex.org/W2792157717","https://openalex.org/W2799298658","https://openalex.org/W3019378473","https://openalex.org/W4213245512","https://openalex.org/W4320710399","https://openalex.org/W4387071884","https://openalex.org/W4387703682","https://openalex.org/W4389861936","https://openalex.org/W4408670121"],"related_works":["https://openalex.org/W7148187670","https://openalex.org/W6987158346","https://openalex.org/W3047626028","https://openalex.org/W4285272280","https://openalex.org/W2476047192","https://openalex.org/W4413942252","https://openalex.org/W2905699714","https://openalex.org/W4319987836","https://openalex.org/W4406345637","https://openalex.org/W4381052759"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Kounis":[1],"syndrome":[2],"describes":[3],"anaphylaxis-induced":[4],"coronary":[5,13],"vasospasm":[6,22,101],"and":[7,27,43,56,64,73,85,131,140],"is":[8,102,119],"often":[9],"misdiagnosed":[10],"as":[11],"acute":[12],"syndrome.":[14],"We":[15],"report":[16],"a":[17,25,93,112],"similar":[18],"phenomenon":[19],"of":[20,30,82,97,106,117],"cerebral":[21],"following":[23],"anaphylaxis,":[24],"rare":[26,94],"under-recognized":[28],"mimic":[29],"stroke.":[31],"CASE":[32],"REPORT:":[33],"A":[34],"previously":[35],"healthy":[36],"45-year-old":[37],"gentleman":[38],"developed":[39],"sudden":[40],"right-sided":[41],"hemiparesis":[42],"dysarthria":[44],"while":[45],"working":[46],"outdoors,":[47],"accompanied":[48],"by":[49],"generalized":[50],"pruritus,":[51],"rash,":[52],"presyncope,":[53],"dyspnea,":[54],"palpitation,":[55],"abdominal":[57],"pain.":[58],"He":[59],"received":[60],"prompt":[61],"intramuscular":[62],"epinephrine":[63,118],"other":[65,86],"anti-inflammatory":[66],"agents,":[67],"resulting":[68],"in":[69,76],"rapid":[70],"symptom":[71],"resolution":[72],"complete":[74],"recovery":[75],"the":[77,83,126,135],"emergency":[78],"department.":[79],"Computed":[80],"tomography":[81],"brain":[84],"studies":[87],"were":[88],"unremarkable.":[89],"This":[90,123],"case":[91,124],"underscores":[92],"neurological":[95],"manifestation":[96],"anaphylaxis.":[98],"CONCLUSION:":[99],"Cerebral":[100],"an":[103],"unusual":[104],"sequela":[105],"anaphylaxis":[107],"that":[108],"may":[109],"lead":[110],"to":[111],"diagnostic":[113],"dilemma.":[114],"Prompt":[115],"administration":[116],"crucial":[120],"for":[121,137],"recovery.":[122],"highlights":[125],"association":[127],"between":[128],"hypersensitivity":[129],"reactions":[130],"cerebrovascular":[132],"events,":[133],"emphasizing":[134],"need":[136],"early":[138],"recognition":[139],"timely":[141],"intervention.":[142]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-06-28T00:00:00"}
