title: Bilateral anterior cerebral artery infarction following viper bite.
abstract: The viper is one of India's most commonly encountered poisonous snakes and envenomation following viper bite usually leads to consumption coagulopathy. Clinical manifestations most frequently include external and internal bleeding. In the setting of viper envenomation, large-vessel thrombosis is a very rare occurrence. Also, bilateral anterior cerebral artery infarction, when unrelated to anatomical abnormalities, subarachnoid haemorrhage, surgery or trauma, itself is an exceedingly rare event. We report a case of a 24-year-old previously healthy man who presented with bilateral anterior cerebral artery infarction following a viper bite. We also present hypotheses that may explain this unusual occurrence.
authors.affiliation: Department of Medicine, Seth GS Medical College & KEM Hospital, Parel, Mumbai 400012, India.
authors.forename: S S
authors.initials: SS
authors.lastname: Hoskote
authors.forename: Veena R
authors.initials: VR
authors.lastname: Iyer
authors.forename: V M
authors.initials: VM
authors.lastname: Kothari
authors.forename: Darshana A
authors.initials: DA
authors.lastname: Sanghvi
mesh_terms: D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000997:Antivenins / Q000627:therapeutic use*; D002536:Cerebral Arteries / Q000187:drug effects / Q000473:pathology*; D002544:Cerebral Infarction / Q000139:chemically induced* / Q000175:diagnosis; D019818:Clavulanic Acid / Q000627:therapeutic use; D004234:Diuretics, Osmotic / Q000627:therapeutic use; D005169:Factor VIII; D005340:Fibrinogen; D006801:Humans; D008297:Male; D008353:Mannitol / Q000627:therapeutic use; D010672:Phenytoin / Q000627:therapeutic use; D010949:Plasma; D012909:Snake Bites / Q000150:complications* / Q000188:drug therapy; D014757:Viper Venoms / Q000506:poisoning*; D017819:Viperidae
chemical_list: D000900:Anti-Bacterial Agents; D000997:Antivenins; D004234:Diuretics, Osmotic; D014757:Viper Venoms; C026912:cryoprecipitate coagulum; D019818:Clavulanic Acid; D008353:Mannitol; D010672:Phenytoin; D000658:Amoxicillin; D005169:Factor VIII; D005340:Fibrinogen