South Asian subcontinent is among the highest burden areas in respect of snake bite. India is commonest place in this subcontinent with mortality following snake envenomation. The four most important venomous snakes in India are cobra (Naja naja) and common krait (Bungarus caeruleus), which are neurotoxic, and the saw-scaled viper (Echis carinatus) and Russell’s viper (Daboia russelii), which are hemotoxic1. Various autonomic dysfunction following neuro-paralytic envenomation with krait and cobra has been reported. Timely recognition and appropriate management of snake envenomation along with autonomic dysfunction helps to reduce morbidity and mortality. Keywords: Autonomic dysfunction, hypertension, antisnake venom, blood pressure.

No abstract

Course of change in one organ development may affect development of another organ system. Mullerian duct developmental anomalies are a challenge to obstetrician and gynecologist. A rare form of lack of development that occur from complete or near complete arrest of development of one of Mullerian duct is Unicornuate Uterus. These anomalies have association with skeletal deformities like scoliosis of spine and "klippel-Fiel" anomaly. These anomalies are often unnoticed and when these anomalies are associated with pregnancy, the challenge occur in anesthetic and surgical management of patients.

Varicella-zoster virus is a neurotropic herpes virus that contains double stranded DNA. It can cause primary, latent and reactivation infection. Chickenpox is the primary manifestation and result in life long latent infection of sensory neurons. Varicella infection is usually self limiting and complications occur mostly in immunocompromised patients. The most common neurological complications following varicella infection are cerebellar ataxia and encephalitis but arterial ischemic stroke in pediatric patient is also significant. Post varicella angiopathy also published under transient cerebral arteriopathy and is nearly always self -limited and may be the result of focal inflammation1. Arterial ischemic stroke may occur during the course of varicella infection or one week to several months after the appearance of rash. Here we present a case of 6 years old male who presented with right hemiparesis with right sided facial nerve palsy two months after chickenpox. An MRI was done which was suggestive of hyperintensities in basal ganglia and internal capsule in T-1 weighted MRI. Although the weakness was self-limiting patient was treated with aspirin in addition to supportive measures. Keywords: Arterial ischemic stroke, Post varicella angiopathy, Varicella zoster virus, Middle cerebral artery, Upper motor neuron, Lower motor neuron.

Unilateral absence of pulmonary artery (UAPA) is a rare congenital anomaly commonly associated with cardiovascular malformation. Tetralogy of Fallot (TOF) is the most frequent concomitant disorder for UAPA disease. Incidence of UAPA in TOF is 1 to 3%. The absent left pulmonary artery (LPA) is 5 to 8 times more frequent than the right pulmonary artery (RPA). In this case report, emphasis has been given to the role of transesophageal echocardiography (TEE) in patients with UAPA with TOF undergoing intracardiac repair.