Snake bite-induced myoclonus, myokymia and myospasm with leukoencephalopathy: a video presentation

Ramcharan, Kanterpersad; Abdool, Kamille; Persad, Navindra; Alexander, Adrian

doi:10.1136/bcr-2016-214963

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…Electromyogram revealed neuronal hyperexcitability with mild myopathic features, while the electroencephalogram showed increased cortical irritability in the left parietal and temporal area. The authors described myokymia as a warning sign for mechanical ventilation, which was also required in our patient [ 7 ].…”

Section: Discussionmentioning

confidence: 96%

Video Presentation of Myokymia in a Snakebite

Garg¹,

Kaur²,

Cheema³

et al. 2021

Cureus

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Patients with snakebites have highly variable presentations, and delayed diagnosis may lead to unfavorable outcomes. Here, we describe the case of a snakebite in a 23-year-old male who presented with myokymias. On management with mechanical ventilation and anti-snake venom, the patient improved and was discharged. The presence of myokymias may be an early clue to diagnosis and the need for mechanical ventilation in a patient with a snakebite.

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Section: Discussionmentioning

confidence: 96%

Video Presentation of Myokymia in a Snakebite

Garg¹,

Kaur²,

Cheema³

et al. 2021

Cureus

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“…Another case of diffuse myokymia involving thigh muscles was reported by Ramcharan et al in 2016. The author concluded by saying myokymia predicts mechanical ventilator need [8]. A recent case report of myokymia by Garg et al in a 23-year-old farmer improved with 0.6mg atropine and 1.5mg neostigmine in five doses and 20 vials of anti-snake venom [9].…”

Section: Discussionmentioning

confidence: 99%

Snakebite Causing Facial and Lingual Tremors: A Case Report

Kaeley¹,

Prasad²,

Singhal³

et al. 2022

Cureus

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Snakebite is a significant public health problem causing around 2.7 envenomations and 138,000 deaths globally. History may sometimes be unclear or misleading, which can cause a delay in diagnosis. Neuroparalytic, hemotoxic, and myotoxic are the common snake bite manifestations. Neuroparalytic snake bites rarely cause involuntary movements. Here we report a case of a 26-year-old female patient who sustained a snake bite and developed tremors in the face and tongue. She improved with mechanical ventilation, anti-snake venom, atropine-neostigmine, and calcium gluconate. She was discharged after seven days of hospital stay and now maintaining regular follow-up in the outpatient clinic.

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Clinical aspects of snakebite envenoming and its treatment in low-resource settings

Warrell¹,

Williams²

2023

The Lancet

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Snake bite-induced myoclonus, myokymia and myospasm with leukoencephalopathy: a video presentation

Cited by 4 publications

References 3 publications

Video Presentation of Myokymia in a Snakebite

Video Presentation of Myokymia in a Snakebite

Snakebite Causing Facial and Lingual Tremors: A Case Report

Clinical aspects of snakebite envenoming and its treatment in low-resource settings

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