A Rare Case of Stroke Due to Multiple Ischemic Infarctions following Russell's Viper Envenomation

Abstract

Ischemic stroke following viper bite is rare. We report a case of stroke with multiple ischemic infarctions following viper bite in a previously healthy man. Soon after being bitten by the snake, he developed local swelling followed by loss of consciousness 1 h later. On examination, he had decreased movement of the right upper and lower limb with bilateral extensor plantar response. Computed tomography scan of the brain showed multiple infarctions involving left frontotemporal lobe, right basal ganglia, right thalamus, occipital lobe, and cerebellar region. The patient improved partially with anti-snake venom therapy.

Keywords

• 20-min whole blood clotting test
• ischemic stroke
• viper envenomation