Snakebite Induced Cerebral Venous Sinus Thrombosis: A Case Report.

Autor: Yousaf M; Khyber Teaching Hospital MTI KTH, Peshawar, Pakistan., Khan QA; Khyber Teaching Hospital MTI KTH, Peshawar, Pakistan., Anthony MR; University of Arizona College of Medicine, Tucson, AZ, USA., Badshah A; Khyber Teaching Hospital MTI KTH, Peshawar, Pakistan., Abdi P; Memorial University, St. Johns, NL, Canada., Farkouh C; Rush Medical College, Chicago, IL, USA., Hadi FA; Mercer University School of Medicine, Macon, GA, USA., Jan R; DHQ and Teaching Hospital KDA, Kohat, Pakistan., Khan A; Khyber Teaching Hospital MTI KTH, Peshawar, Pakistan., Iram S; Sultan Qaboos University, Muscat, Oman.
Jazyk: angličtina
Zdroj: Clinical medicine insights. Case reports [Clin Med Insights Case Rep] 2023 Apr 03; Vol. 16, pp. 11795476231165750. Date of Electronic Publication: 2023 Apr 03 (Print Publication: 2023).
DOI: 10.1177/11795476231165750
Abstrakt: Introduction: Cerebral venous sinus thrombosis (CVST) is a rare but highly fatal neurological condition mostly caused by prothrombotic conditions like antiphospholipid syndrome, factor V Leiden, and G20210A prothrombin polymorphism. Snake bites are a rare cause of cerebral venous sinus thrombosis that must be recognized and treated promptly to improve survival.
Case Presentation: We present a case of a 25-year-old male who developed headaches and seizures following a Viper snake bite. The diagnosis was made based on a magnetic resonance venogram (MRV) showing transverse sinus thrombosis with sigmoid sinus stenosis. Initially, the patient was treated with antivenom and supportive treatment for disseminated intravascular coagulation (DIC). After the diagnosis of CVST, the patient was treated with rivaroxaban and levetiracetam. The patient improved within 1 week of treatment and was advised to follow up in 3 months.
Conclusion: A high index of suspicion for cerebral venous sinus thrombosis is required if the patient presents with headaches, seizures, or abnormal vision following a snake bite. Early diagnosis and management can prevent further neurological damage.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2023.)
Databáze: MEDLINE
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