Fatal intracranial bleedings in a viper bite:A case report

作     者：Alagarasan Naveen Manas Ranjan Sahu Manoj Kumar Mohanty Kimi Soumya Padhi Ashis Patnaik 

作者机构：Department of Forensic Medicine&ToxicologyAll India Institute of Medical Sciences(AMS)BhubaneswarOdishaIndia Department of NeurosurgeryAl India Institute of Medical Sciences(AIIMS)BhubaneswarOdishaIndia 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2023年第26卷第2期

页      面：121-124页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：All-India Institute of Medical Sciences  AIIMS 

主　　题：Snake bite Viper Intracerebral hemorrhage Subarachnoid hemorrhage Anti-snake venom 

摘      要：Viper bite envenomation represents a significant occupational hazard among agricultural workers in *** viper bite envenomation is usually suspected when a patient presents with predominant local symptoms at the bitten site,including pain,swelling,and ***,systemic findings such as diffuse intravascular coagulation,hypotension,and shock may alert physicians of viper bite envenomation rather than a neurotoxic snake ***,cerebral complications are rare in viper bites but may potentially *** nervous system involvement in a viper bite is either due to neurotoxins or hemorrhagins present in the venom,which may induce cerebral thrombosis,ischemia,infarction,and *** we present a case of a previously healthy adult male who succumbed to extensive subarachnoid,intracerebral,and intraventricular hemorrhages involving bilateral cerebral hemispheres following viper snake bite *** report highlights the importance of anticipating cerebral complications in viper bite envenomation,a rare *** also emphasizes the need for early antisnake venom administration to prevent and control systemic envenomation and its complications.