A Rare Case Series of Ischemic Stroke Following Russell's Viper Snake Bite in India

Acta Med Indones. 2017 Oct;49(4):343-346.

Abstract

Snakebite is an important medical problem in India. Among their various manifestations, cerebral complications are uncommonly found in literature. Moreover, Ischemic stroke following snake bite is quite rare. Here we report a case series of two such cases that developed neurological manifestations following Russell's viper bite. On computerized tomography (CT) scan of brain; cerebral infarcts were revealed. Their likely mechanisms are discussed in present study which include disseminated intravascular coagulation, toxin induced vasculitis and endothelial damage.

Keywords: Russel's viper; cerebral infarct; ischemic stroke; snake bite.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Animals
  • Antivenins / therapeutic use
  • Cerebral Infarction / diagnostic imaging*
  • Cerebral Infarction / drug therapy
  • Cerebral Infarction / etiology*
  • Clopidogrel
  • Daboia*
  • Humans
  • India
  • Male
  • Middle Aged
  • Platelet Aggregation Inhibitors / therapeutic use
  • Snake Bites / complications*
  • Snake Bites / drug therapy
  • Ticlopidine / analogs & derivatives
  • Ticlopidine / therapeutic use
  • Tomography, X-Ray Computed
  • Viper Venoms / toxicity*

Substances

  • Antivenins
  • Platelet Aggregation Inhibitors
  • Viper Venoms
  • Clopidogrel
  • Ticlopidine