NEUROTOXIN ENVENOMATION OF SNAKEBITE MIMICKING BRAIN DEATH: LOCKED-IN SYNDROME
Dr. Harish B.V.*, Dr. Prabhakar K., Dr. Prasad R., Dr. Yugandhar R. and Dr. Uphar G.
Snakebites remain a public health problem in many countries even though it is difficult to be precise about the actual number of cases. The snake venom consists of different enzymatic and nonenzymatic components loosely categorized as neurotoxins and hemorrhagens. Venomous snakebite has become a global concern. While external ophthalmoplegia (ptosis) is an established association with neurotoxin envenomation, the combination of internal (dilated, non‑reacting pupils) and external ophthalmoplegia can mimic brain death and pose a dilemma to the caregivers regarding continuation of therapy.1 Many cases has been reported in children. We report a case of neurotoxin envenomation in a 35 year old male with such a presentation.
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