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Acute paraplegia following viper bite.

S Singh1, A Chattopadhya, Archana Sud

  • 1Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012, India.

The Journal of the Association of Physicians of India
|February 14, 2003
PubMed
Summary

Viper bites rarely cause neurological issues, usually bleeding in the brain. This case details a viper bite leading to spinal cord involvement and acute flaccid paraplegia.

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Area of Science:

  • Neurology
  • Toxicology
  • Herpetology

Background:

  • Neurological complications from viper bites are rare.
  • Common complications include intracerebral or subarachnoid hemorrhage, and rarely cerebral infarction.

Observation:

  • A young male presented with local tissue swelling and hemorrhagic manifestations post-viperine bite.
  • The patient later developed acute flaccid paraplegia.

Findings:

  • The paraplegia was attributed to dorsal spinal cord involvement.
  • Disseminated intravascular coagulation (DIC) was identified as a contributing factor to hemorrhagic manifestations.

Implications:

  • This case highlights a rare neurological complication of viper envenomation.

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  • It underscores the importance of monitoring for spinal cord involvement in viper bite patients, especially those with coagulopathy.