AIMS:To study the clinical profile and outcome of neuroparalytic snake envenomation in a tertiary care hospital of Chhattisgarh. METHODS: This study is a retrospective, study including 165 patients of both sexes, who presented with history of snake bite or suspicion of snake bite. It was carried out at the Intensive care unit (ICU) of a Medical College hospital of Chhattisgarh during the period of January 2011 to December 2014. RESULTS: During period of 4 years, 165 cases of neuroparalytic snake envenomation were admitted in the ICU ward, out of which, 65 cases (39.40%) were of cobra and 100(60.60%) cases were of krait bite. 58(35.15%) cases required ventilatory support. Bites were more common in males. Male: female ratio was 5:3. Maximum cases occurred during the monsoon season and involved the lower limbs. Ptosis was the chief neurotoxic feature. Cellulitis as a complication was observed in most of the cases of cobra bite. Polyvalent Anti Snake Venom (ASV) was used, in a mean dose of 22 vials, as specific treatment. Deaths were reported in patients who reported late to the hospital with a mortality rate of 3.03%. No long term morbidity was observed. CONCLUSIONS: Snakebites are common in the rural population of developing countries like ours. There is a need to aware the public and medical staff about the complication of snakebite and benefit of early reporting to hospital.