Anticholinesterase therapy for patients with ophthalmoplegia following snake bites: report of two cases.
Although ophthalmoplegia following snake bites is not indicative of a serious neurotoxic complication, symptoms of diplopia, dizziness and ocular discomfort can be emotionally devastating for patients. The authors experienced two cases of ophthalmoplegia following snake bites in Korea. The patients complained of diplopia that had developed several hours after the snake bites. The diplopia did not improve with antivenom treatment, but resolved completely after several injections of neostigmine.
Lee
Sung Woo
SW
Department of Emergency Medicine, College of Medicine, Korea University, Seoul, Korea. kuedchoi@korea.ac.kr
Jung
In Chul
IC
Yoon
Young Hoon
YH
Hong
Suk Hyun
SH
Han
Kap Su
KS
Choi
Sung Hyuk
SH
Hong
Yun Sik
YS
D000293:Adolescent; D000818:Animals; D002648:Child; D002800:Cholinesterase Inhibitors / Q000627:therapeutic use*; D004172:Diplopia / Q000188:drug therapy / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D009388:Neostigmine / Q000627:therapeutic use; D009886:Ophthalmoplegia / Q000188:drug therapy* / Q000209:etiology*; D012909:Snake Bites / Q000150:complications*
D002800:Cholinesterase Inhibitors; D009388:Neostigmine