Abstract
ACUTE ISCHEMIC STROKE FOLLOWING A RUSSELL’S VIPER BITE- A RARE NEUROLOGICAL COMPLICATION

Dr. Surendra E.M.*, Dr. Sudeep Shetty, Dr. Chandrashekhar S. and Dr. Vinay Swamy P.M.

ABSTRACT

Snake bites are an important cause of morbidity and mortality in tropical countries. Neurological complications are quite common in venomous snake bites. Ischemic stroke following viper bite is rare. Strokes, mainly hemorrhagic and occasionally ischemic, have been reported in 2.6% of snake bites. Direct effect of toxin, vasospasm and release of procoagulant and anticoagulant factors have all been postulated as the cause. We report a case of 38 years male who developed left hemiplegia following a Russell’s viper bite. The possible mechanisms of infarction in this scenario are discussed. Patient was treated with anti-snake venom and showed a good recovery. Early imaging and early treatment with antisnake venom is important for a favorable outcome.

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