Acute Demyelination Following Snake Bite – An Unusual Complication

Excerpt

Common central nervous system complications following snake bite envenomation include intracranial hemorrhage and ischemic stroke other than acute neuromuscular toxicity. We report a rare complication after snake bite neurotoxicity. An 11-y-old male child was brought with history of snake (krait) bite. On arrival, he was received in cardiac arrest and was revived after cardiopulmonary resuscitation. Antisnake venom (ASV), neostigmine and atropine were administered and child was mechanically ventilated. During this time, the child was unresponsive, with eyes in mid-position, sluggishly reacting pupils and intact doll’s eye movement. The power in all 4 limbs was 0/5, with absent reflexes and hypotonia. WBCT, blood counts, renal and liver function tests were normal. …