Document Detail

Locked-in syndrome in snakebite.
MedLine Citation:
PMID:  18472515     Owner:  NLM     Status:  MEDLINE    
Two young patients are described who made complete recovery from locked-in syndrome (LIS) after snakebites. LIS was a presenting feature in a patient of presumed snake bite who showed complete response to polyvalent Anti-snake venom (ASV). This case suggests that elapid snake bite should be suspected in unresponsive patient found in early morning in endemic areas of snake bite in monsoon season. The second case was admitted in complete LIS state with history of rapidly progressive ptosis, diplopia, ophthalmoplegia, bulbar symptoms and quadriparesis, 6 hours after snake bite. Complete improvement by ASV in second patient highlights the need of differentiation of complete LIS from coma and brain death in patient of snake bite, as former have good prognosis.
S Prakash; C Mathew; S Bhagat
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of the Association of Physicians of India     Volume:  56     ISSN:  0004-5772     ISO Abbreviation:  J Assoc Physicians India     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-05-13     Completed Date:  2008-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505585     Medline TA:  J Assoc Physicians India     Country:  India    
Other Details:
Languages:  eng     Pagination:  121-2     Citation Subset:  IM    
Department of Neurology, Medical College, Baroda, Gujarat.
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MeSH Terms
Antivenins / therapeutic use
Dysarthria / drug therapy,  etiology*
Quadriplegia / drug therapy,  etiology*
Snake Bites / complications*,  drug therapy
Reg. No./Substance:

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