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Case Reports
. 2012 Jan;3(1):74-6.
doi: 10.4103/0976-3147.91954.

Cerebellar infarct with neurogenic pulmonary edema following viper bite

Salil Gupta  1 , Ak Tewari, Velu Nair
Affiliations
Case Reports

Cerebellar infarct with neurogenic pulmonary edema following viper bite

Salil Gupta et al. J Neurosci Rural Pract. 2012 Jan.

Abstract

Russell's viper (Daboia russelli) bites are well known to cause bleeding complications. However, thrombotic complications are rare. We present the case details of a female who was bitten by a Russell's viper (Daboia russelli) in her village. She then developed features of envenomation in the form of hemorrhagic episodes. She received 27 vials of polyvalent anti-snake venom to which the hemorrhagic complications responded. After about 48 h of the bite she developed features of cerebellar infarct along with pulmonary edema which was in all probability neurogenic in origin. She was managed with mechanical ventilation and extra ventricular drainage with good recovery. We discuss the likely pathogenesis of the infarct and pulmonary edema occurring in a patient with viper bite and other features of envenomation.

Keywords: Cerebellar infarct; neurogenic pulmonary edema; viper bitee.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Bedside X-ray chest showing bilateral fluffy opacities suggestive of pulmonary edema
Figure 2
Figure 2
Post EVD non contrast CT brain showing left-sided cerebellar infarct with a mass effect pushing the brainstem to the right, chinking of fourth ventricle and hydrocephalus. Also seen is air within the ventricle following the EVD
See this image and copyright information in PMC

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