Document Detail


Occipital infarction revealed by quadranopsia following snakebite by Bothrops lanceolatus.
MedLine Citation:
PMID:  16172485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of snakebite in which envenomation was manifested through impairment of the visual field. The patient, a 46-year-old man, was bitten on the right thumb by Bothrops lanceolatus. Treatment with a specific equine antivenom (Bothrofav) was administered one hour after the bite. With the exception of fang marks, the results of a clinical examination, particularly the neurologic component, were normal. The day after the bite, the patient developed an inferior left lateral homonymous quadranopsia with macular epargne. T2 magnetic resonance imaging showed a right occipital infarction. His condition improved clinically and biologically. This observation of snakebite is the first in which envenomation was accompanied exclusively by an impairment of the visual field. Envenomation by B. lanceolatus is distinct in its incidence of significant thrombotic complications at a distance from the site of the bite.
Authors:
Harold Merle; Angélique Donnio; Lucas Ayeboua; Yves Plumelle; Didier Smadja; Laurent Thomas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  73     ISSN:  0002-9637     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-20     Completed Date:  2005-11-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  583-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Ophthalmology, University Hospital Center of Fort de France, Fort de France, Martinique. harold.merle@chu-fortdefrance.fr
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MeSH Terms
Descriptor/Qualifier:
Animals
Antivenins / therapeutic use
Bothrops*
Brain Infarction / pathology*
Humans
Male
Middle Aged
Occipital Lobe / pathology*
Snake Bites / drug therapy,  pathology*
Chemical
Reg. No./Substance:
0/Antivenins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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