A rare case report of Russell’s viper snakebite with ischemic stroke
作者: VK PothukuchiVR ChepuriKalyani NattaNagaraju MadiganiAlok Kumar
刊名: Hong Kong Journal of Emergency Medicine, 2018, Vol.25 (2), pp.95-97
来源数据库: Sage Publications, Inc.
DOI: 10.1177/1024907917735071
关键词: Biological toxinsCerebral infarctionSnakebites
原始语种摘要: Ischemic stroke following snakebite is rare. We report a case of a 55-year-old male who developed headache with expressive aphasia following a Russell’s viper bite. Computed tomography scan of the brain revealed infarcts in bilateral frontal lobes. The possible mechanisms for cerebral infarction in this scenario are discussed, which include disseminated intravascular coagulation, toxin-induced vasculitis, and endothelial damage. In viper bites, whenever there is any central nervous system manifestations or deficits, immediate computed tomography scan of the brain should be taken to delineate the underlying pathology, whether hemorrhagic or ischemic, as treatments differ in both situations. Although ischemic stroke is rare in viper bites, if the treatment is started early, the neurological...
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  • snakebite 毒蛇咬伤
  • stroke 笔划
  • ischemic 福尔克曼氏麻痹
  • viper 蝮蛇
  • aphasia 语言不能
  • infarction 梗塞
  • headache 头痛
  • tomography 断层x 线摄影
  • intravascular 血管内的
  • report 通报