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Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case Report
Muhammad Yousaf1, Qaisar Ali Khan1, Michelle R Anthony2
1Khyber Teaching Hospital MTI KTH, Peshawar, Pakistan.
Clinical Medicine Insights. Case Reports
|April 10, 2023
Summary
Snake bites can cause cerebral venous sinus thrombosis (CVST), a rare but serious neurological condition. Prompt recognition and treatment of CVST following snake envenomation are crucial for patient survival and recovery.
Area of Science:
- Neurology
- Toxicology
Background:
- Cerebral venous sinus thrombosis (CVST) is a rare neurological emergency.
- Common causes include prothrombotic conditions like antiphospholipid syndrome and genetic factors.
- Snake envenomation is an infrequent but critical etiology of CVST.
Observation:
- A 25-year-old male presented with headaches and seizures post-Viper snake bite.
- Magnetic resonance venogram confirmed transverse sinus thrombosis and sigmoid sinus stenosis.
- Initial management included antivenom and treatment for disseminated intravascular coagulation (DIC).
Findings:
- The patient was diagnosed with CVST and treated with rivaroxaban and levetiracetam.
- Significant clinical improvement was observed within one week of treatment.
- Follow-up was scheduled for three months post-discharge.
Implications:
- Highlights the importance of considering CVST in patients with neurological symptoms after snake bites.
- Emphasizes the need for early diagnosis and prompt, appropriate management to improve outcomes.
- Underscores the critical role of recognizing rare etiologies of CVST for effective treatment.
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