Posterior circulation ischemic stroke following Russell's viper envenomation

Siddalingana Gouda, Vinay Pandit, Shubha Seshadri, Rohith Valsalan, M. Vikas

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Ischemic stroke following viper bite is rare. We report a case of posterior circulation ischemic infarction following viper bite in a previously healthy woman. Soon after being bitten by the snake on the left leg, she developed local redness, echymosis and one hour later became drowsy. On examination she had skew deviation of eyes and down gaze preference, generalized hypotonia. A CT scan of brain showed infarcts in cerebellar hemispheres and occipital lobes on both sides and that was confirmed on magnetic resonance imaging of brain. Her coagulation profile was deranged. Most common and serious central nervous system complication following snake bite is intracranial hemorrhage. Ischemic stroke commonly involves anterior circulation. Bilateral cerebellar and occipital infraction is not yet reported in literature. Exact cause for the development of infarction is not clear. 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 anti-snake venom is important for a favorable outcome.

Original languageEnglish
Pages (from-to)301-303
Number of pages3
JournalAnnals of Indian Academy of Neurology
Volume14
Issue number4
DOIs
Publication statusPublished - 01-10-2011

Fingerprint

Russell's Viper
Infarction
Antivenins
Snake Venoms
Stroke
Bites and Stings
Ocular Motility Disorders
Snake Bites
Occipital Lobe
Muscle Hypotonia
Snakes
Intracranial Hemorrhages
Brain
Leg
Central Nervous System
Magnetic Resonance Imaging
Therapeutics

All Science Journal Classification (ASJC) codes

  • Clinical Neurology

Cite this

Gouda, Siddalingana ; Pandit, Vinay ; Seshadri, Shubha ; Valsalan, Rohith ; Vikas, M. / Posterior circulation ischemic stroke following Russell's viper envenomation. In: Annals of Indian Academy of Neurology. 2011 ; Vol. 14, No. 4. pp. 301-303.
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Posterior circulation ischemic stroke following Russell's viper envenomation. / Gouda, Siddalingana; Pandit, Vinay; Seshadri, Shubha; Valsalan, Rohith; Vikas, M.

In: Annals of Indian Academy of Neurology, Vol. 14, No. 4, 01.10.2011, p. 301-303.

Research output: Contribution to journalArticle

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