Stroke and snakebite: case report.
Snakebites are common and lead to potential complications like neuromyopathies and strokes, these last associated with disturbances of blood coagulation. We report on a 65 years old woman of cerebral intraparenchymal hemorrhage associated with snakebite by a Bothrops jararaca that occurred in the Reconcavo of Bahia, BA, Brazil. The patient was submitted to a surgical evacuation of the hematoma, with a good result. This report is accompanied by a revision about the association among snakebite and neurological complications, emphasizing strokes. Statistics reveal a high incidence of snakebite in the world, mainly in tropical countries and gets attention for his socioeconomic impact. The clinical and laboratory characteristics to identify the victims that present a high risk of presenting strokes are discussed in order to identify early those patients, so that they may be treated in a more precocious and effective way.
Santos-Soares
Paulo César
PC
Adult ICU, Hospital Santo Amaro, José Oliveira Foundation, and Universidade Federal da Bahia, Salvador, BA, Brazil. pcneuro@gmail.com
Bacellar
Aroldo
A
Povoas
Heitor Portella
HP
Brito
Alex Ferreira
AF
Santana
Diana Lara Pinto
DL
D000368:Aged; D000818:Animals; D017837:Bothrops; D001938:Brazil / Q000453:epidemiology; D002543:Cerebral Hemorrhage / Q000209:etiology / Q000601:surgery; D003435:Crotalid Venoms; D005260:Female; D006801:Humans; D012909:Snake Bites / Q000150:complications* / Q000453:epidemiology; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology*; D013396:Suction; D014057:Tomography, X-Ray Computed
D003435:Crotalid Venoms