Annals of Indian Academy of Neurology
CASE REPORT
Year
: 2011  |  Volume : 14  |  Issue : 4  |  Page : 301--303

Posterior circulation ischemic stroke following Russell«SQ»s viper envenomation


Siddalingana Gouda, Vinay Pandit, Shubha Seshadri, Rohith Valsalan, M Vikas 
 Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India

Correspondence Address:
Vinay Pandit
Associate Professor, Department of Medicine, Kasturba Medical College, Manipal University, Manipal - 576 104, Karnataka
India

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.


How to cite this article:
Gouda S, Pandit V, Seshadri S, Valsalan R, Vikas M. Posterior circulation ischemic stroke following Russell's viper envenomation.Ann Indian Acad Neurol 2011;14:301-303


How to cite this URL:
Gouda S, Pandit V, Seshadri S, Valsalan R, Vikas M. Posterior circulation ischemic stroke following Russell's viper envenomation. Ann Indian Acad Neurol [serial online] 2011 [cited 2021 Jun 25 ];14:301-303
Available from: https://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=4;spage=301;epage=303;aulast=Gouda;type=0