Posterior fossa infarct following Viper bite: a paradox

Deepu, D; Hrishikesh, S; Suma, M S; Zoya,

doi:10.1590/s1678-91992011000300017

Cited by 6 publications

(6 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In one case the patient survived but had no improvement in neurological status and was given poor prognosis 5. In the other case the patient recovered significantly 3.…”

Section: Discussionmentioning

confidence: 94%

Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite

et al. 2013

View full text Add to dashboard Cite

Cerebrovascular complications are rare following viper bites. A 65-year-old man presented with loss of consciousness and developed haemiparesis following a viper bite. Coagulation parameters were severely deranged. MRI showed acute ischaemic infarction on the left side in the precentral and postcentral gyrus, hemipons and cerebellum. Troponin T was elevated and transient left bundle branch block was seen. The patient had a good outcome following treatment with Anti Snake Venom and supportive therapy. Possible mechanisms of infarction are discussed.

show abstract

“…In one case the patient survived but had no improvement in neurological status and was given poor prognosis 5. In the other case the patient recovered significantly 3.…”

Section: Discussionmentioning

confidence: 94%

Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Previous case reports have discussed similar cases where the patient died despite normal coagulation parameters. 10,14 Patient A also had paraplegia that could be explained as an MRI of the spine could not be done. Singh et al 15 have In our series, two patients presented with seizures despite having only posterior fossa infarcts (B, E).…”

Section: Discussionmentioning

confidence: 99%

“…This corresponds to earlier case reports. [10][11][12][13][14] The clinical outcome is better in patients with supratentorial infarcts following snake bite than posterior fossa infarcts. [5][6][7][8][9] This may be due to the rapid rise of intracranial pressure associated with posterior fossa infarcts.…”

Section: Discussionmentioning

confidence: 99%

“…Only five cases of posterior circulation infarcts after snakebite have been reported to date, 10-14 out of which only three have been documented after a viper bite. [12][13][14] Paraplegia following snake bite is a rarely reported manifestation, only reported once previously. 15 We report 5 cases with the unusual presentation of posterior circulation infarct following a viper snake bite.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A case series of posterior circulation ischaemic stroke following viper snake bite

Nakipuria,

Shah,

Easwarappa

et al. 2023

IJN

View full text Add to dashboard Cite

Snakebite is a common problem in Rural India. Viper snake bite is India's most common cause of fatal snake bites. They are usually associated with hemorrhagic complications. Ischemic complications following viper bite are uncommon and have only been reported by a few authors. A posterior circulation stroke is even rarer as it is challenging to diagnose. It is also fatal if there is a delay in diagnosis. We report a series of 5 patients with posterior circulation infarcts following viper envenomation confirmed by MRI Brain. We review published literature and discuss the likely pathogenesis of the ischaemic stroke following a viper bite. This study stresses the need for a higher degree of suspicion for posterior circulation stroke following snakebite and an early radiological diagnosis. Following diagnosis, adequate hydration, maintaining blood pressure, antiplatelets, and ICP lowering measures are essential. Snakebite should be considered a differential diagnosis in a young patient with stroke, especially in rural areas.

show abstract

“…Unlike cobra bite, neurological sequelae are extremely rare in viper bite. However, cases of cerebrovascular accident (cerebral infarction or cerebral haemorrhage) were reported by some studies [1][2][3] and neuromuscular weakness were observed [4]. Endocrine and metabolic complications after viper bite has been reported by several researchers [5].…”

Section: Introductionmentioning

confidence: 99%

Venom Induced Toxic Ventriculitis Resulting in Acute Reversible Communicating Internal Hydrocephalus, Acute Pituitary Haemorrhage, Acute Hypopituitarism, Acute Kidney Injury, Septicaemia, Cellulitis and DIC Due to Viper Bite in a Young Farmer: A Case Report

Pyar¹,

Hlaing²,

Aung³

et al. 2021

J Biomed Res Environ Sci

View full text Add to dashboard Cite

A young farmer, tenth standard student, helping his grandfather during holiday, developed anuria after viper bite. Because of headache, non-enhanced CT scan head was done on admission which showed a small pituitary haemorrhage with normal ventricles. Later, he had generalized fits and second non-enhanced CT scan head was repeated which revealed a small pituitary haemorrhage with dilated ventricles. He also had acute kidney injury, septicaemia, cellulitis and DIC. The serum level of TSH, free T3 & free T4 were low; thus, replacement was done. Cerebrospinal fluid study (protein, sugar, cells) including culture was normal. Renal replacement therapy (haemodialysis), platelets transfusion and antibiotics were given. He had torrential polyuria (urine output 12 liter per day) when he recovered from renal failure and it improved dramatically with desmopressin replacement. There was improvement in third non-enhanced CT scan head and fourth one was consistent with normal ventricle and reduction in size of pituitary haemorrhage.

show abstract

Posterior fossa infarct following Viper bite: a paradox

Cited by 6 publications

References 3 publications

Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite

Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite

A case series of posterior circulation ischaemic stroke following viper snake bite

Venom Induced Toxic Ventriculitis Resulting in Acute Reversible Communicating Internal Hydrocephalus, Acute Pituitary Haemorrhage, Acute Hypopituitarism, Acute Kidney Injury, Septicaemia, Cellulitis and DIC Due to Viper Bite in a Young Farmer: A Case Report

Contact Info

Product

Resources

About