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Spontaneous Intracerebral Bleed Post Snake Envenomation
Girish Menon1, Lakshman I Kongwad2, Rajesh Parameshwaran Nair2
1Professor and Head, Department of Neurosurgery, Kasturba Medical College, Manipal, Karnataka, India.
Journal of Clinical and Diagnostic Research : JCDR
|June 3, 2017
Summary
Snakebite envenomation can cause rare but fatal brain bleeds. This case highlights successful management of intracerebral hemorrhage after a viper bite, offering insights into treatment challenges.
Area of Science:
- Neurology
- Toxicology
- Emergency Medicine
Background:
- Snakebite envenomation is a significant public health issue in tropical regions.
- While systemic effects are common, severe neurosurgical complications are infrequently reported.
- Viperine envenomation poses unique diagnostic and therapeutic challenges.
Observation:
- A 28-year-old male presented with intracerebral hemorrhage following a viper bite.
- The patient's neurological status and the hemorrhage progression required careful monitoring.
- Management involved addressing both the envenomation and the intracranial bleeding.
Findings:
- Successful management of intracerebral hemorrhage in the context of viper envenomation was achieved.
- The case underscores the importance of recognizing and managing rare neurological complications.
- Prompt and appropriate medical intervention is crucial for favorable outcomes.
Implications:
- This case contributes to the limited literature on neurosurgical complications of viper bites.
- It highlights potential management strategies and dilemmas in treating such rare events.
- Further research into the neurotoxic effects of viper venom may improve patient care.

