Ophthalmoplegia in tiger snake envenomation
| Autor: | Terry O'Brien, Janaka Seneviratne, Owen White, Mervyn D. Ferdinands |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Ocular Pathology medicine.medical_treatment Antivenom Snake Bites Physiology (medical) Intensive care medicine Intubation Humans Envenomation Paresis Aged Elapid Venoms Ophthalmoplegia Respiratory distress business.industry General Medicine medicine.disease Snake bites Surgery Neurology Anesthesia Neurology (clinical) medicine.symptom business |
| Zdroj: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 13(3) |
| ISSN: | 0967-5868 |
| Popis: | Herein, we present the case of a 67-year-old grazier who was bitten by a tiger snake and developed coagulopathy and respiratory distress. The patient required intubation and ventilation in intensive care. There was delayed detection of snake envenomation and administration of antivenom. On extubation several days later, gross external ocular paresis was noted. Clinical testing indicated that the ocular pathology was secondary to neurotoxin-mediated presynaptic blockade. The paresis was partially resolved by the time of discharge one week later. The present case report discusses the possible mechanisms for the delayed development of ophthalmoplegia. |
| Databáze: | OpenAIRE |
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