Reversible Brain Death: A Rare Manifestation of Snake Envenomation
Snakebite is a serious public health problem and one of the priorities in WHO's list of neglected tropical diseases. It significantly increases morbidity and mortality associated with envenomation in India. A neurotoxic snakebite can present in the form of symptoms ranging from asymptomatic pre...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Medical Specialities |
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| Online Access: | https://journals.lww.com/10.4103/injms.injms_125_22 |
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| author | Ankusha Patra Vrinda Goel Shiva Narang Amitesh Aggarwal |
| author_facet | Ankusha Patra Vrinda Goel Shiva Narang Amitesh Aggarwal |
| author_sort | Ankusha Patra |
| collection | DOAJ |
| description | Snakebite is a serious public health problem and one of the priorities in WHO's list of neglected tropical diseases. It significantly increases morbidity and mortality associated with envenomation in India. A neurotoxic snakebite can present in the form of symptoms ranging from asymptomatic presentation, ptosis, and complete external and internal ophthalmoplegia to complete respiratory failure. This is a case report of a 22-year-old male, who presented with bilateral ptosis and impending respiratory failure. He soon became deeply comatose, with absent brain stem reflexes (mute plantar, fixed pupils, and the absence of the doll's eye reflex) which were suggestive of brain death. He was treated with polyvalent anti-snake venom, anticholinesterases, and supportive therapy and recovered completely with an excellent outcome. |
| format | Article |
| id | doaj-art-5782f5e11d874ff3b51ec494382ecea5 |
| institution | Kabale University |
| issn | 0976-2884 0976-2892 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Medical Specialities |
| spelling | doaj-art-5782f5e11d874ff3b51ec494382ecea52025-08-25T08:43:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Specialities0976-28840976-28922023-01-01141505210.4103/injms.injms_125_22Reversible Brain Death: A Rare Manifestation of Snake EnvenomationAnkusha PatraVrinda GoelShiva NarangAmitesh AggarwalSnakebite is a serious public health problem and one of the priorities in WHO's list of neglected tropical diseases. It significantly increases morbidity and mortality associated with envenomation in India. A neurotoxic snakebite can present in the form of symptoms ranging from asymptomatic presentation, ptosis, and complete external and internal ophthalmoplegia to complete respiratory failure. This is a case report of a 22-year-old male, who presented with bilateral ptosis and impending respiratory failure. He soon became deeply comatose, with absent brain stem reflexes (mute plantar, fixed pupils, and the absence of the doll's eye reflex) which were suggestive of brain death. He was treated with polyvalent anti-snake venom, anticholinesterases, and supportive therapy and recovered completely with an excellent outcome.https://journals.lww.com/10.4103/injms.injms_125_22anticholinesteraseanti-snake venombrain deathsnakebite |
| spellingShingle | Ankusha Patra Vrinda Goel Shiva Narang Amitesh Aggarwal Reversible Brain Death: A Rare Manifestation of Snake Envenomation Indian Journal of Medical Specialities anticholinesterase anti-snake venom brain death snakebite |
| title | Reversible Brain Death: A Rare Manifestation of Snake Envenomation |
| title_full | Reversible Brain Death: A Rare Manifestation of Snake Envenomation |
| title_fullStr | Reversible Brain Death: A Rare Manifestation of Snake Envenomation |
| title_full_unstemmed | Reversible Brain Death: A Rare Manifestation of Snake Envenomation |
| title_short | Reversible Brain Death: A Rare Manifestation of Snake Envenomation |
| title_sort | reversible brain death a rare manifestation of snake envenomation |
| topic | anticholinesterase anti-snake venom brain death snakebite |
| url | https://journals.lww.com/10.4103/injms.injms_125_22 |
| work_keys_str_mv | AT ankushapatra reversiblebraindeathararemanifestationofsnakeenvenomation AT vrindagoel reversiblebraindeathararemanifestationofsnakeenvenomation AT shivanarang reversiblebraindeathararemanifestationofsnakeenvenomation AT amiteshaggarwal reversiblebraindeathararemanifestationofsnakeenvenomation |