Anticholinesterase Therapy for Patients with Ophthalmoplegia Following Snake Bites: Report of Two Cases
نویسندگان
چکیده
Although ophthalmoplegia following snake bites is not indicative of a serious neurotoxic complication, symptoms of diplopia, dizziness and ocular discomfort can be emotionally devastating for patients. The authors experienced two cases of ophthalmoplegia following snake bites in Korea. The patients complained of diplopia that had developed several hours after the snake bites. The diplopia did not improve with antivenom treatment, but resolved completely after several injections of neostigmine.
منابع مشابه
Ocular Manifestations of Venomous Snake Bite over a One-year Period in a Tertiary Care Hospital
PURPOSE Ocular manifestations in snake-bite injuries are quite rare. However, the unusual presentations, diagnosis and their management can pose challenges when they present to the ophthalmologist. Early detection of these treatable conditions can prevent visual loss in these patients who are systemically unstable and are unaware of their ocular condition. To address this, a study was conducted...
متن کاملSnake bite mimicking brain death
A 6 year old girl woke up with pain and increasing swelling over the left hand and difficulty in breathing. On examination, she had swelling of the left forearm and hand, flaccid quadriparesis and was in respiratory failure requiring mechanical ventilation. Two clean puncture wounds were identified on the left thumb. A provisional diagnosis of snake bite with severe envenomation was made and sh...
متن کاملCerebellar ataxia following snake bite.
Neurotoxic snake envenomations are frequently encountered in medicine emergencies. Here we report a case of snakebite who presented with neuromuscular paralysis and respiratory failure, showed full recovery after effective treatment. Patient however developed cerebellar ataxia possibly due to delayed neurotoxicity of venom.
متن کاملHyperbaric oxygen therapy after Bothrops lanceolatus snake bites in Martinique: a brief report.
Every year 10 to 20 cases of snake bites are reported on the Caribbean island of Martinique. The only snake involved, Bothrops lanceolatus, is endemic on the island, and its bite may lead to systemic multifocal thrombotic complications in the'absence of the monospecific antivenom. Between January 1988 and January 2009, more than 250 snake bites have been reported, and five patients were treated...
متن کاملVision Loss following Snakebite in a Patient with Controlled Aplastic Anemia
Viper venoms act mainly on blood and blood vessels. Reports of ophthalmic manifestations after snakebite include ptosis and ophthalmoplegia. In the current study, we describe a case that developed bilateral retinal and subretinal hemorrhage following snakebite. Bilateral retinal hemorrhage is a rare ocular complication of snake envenomation and has not been reported with fundus photographs in t...
متن کامل