title: Acute ischemic infarct in the middle cerebral artery territory following a Russell's viper bite.
abstract: Ischemic stroke following snake bite is rare. We report an 18-year male who developed right hemiplegia with expressive aphasia following a Russell's viper bite. T2-weighted magnetic resonance imaging revealed infarct in the left middle cerebral artery territory. The possible mechanisms for cerebral infarction in this scenario include disseminated intravascular coagulation, toxin induced vasculitis and endothelial damage.
authors.affiliation: Department of General Medicine, Mamata General Hospital, Mamata Medical College, Khammam, Andhra Pradesh, India. narang_sanjeev@yahoo.com
authors.forename: Sanjeev K
authors.initials: SK
authors.lastname: Narang
authors.forename: Srikanth
authors.initials: S
authors.lastname: Paleti
authors.forename: M A
authors.initials: MA
authors.lastname: Azeez Asad
authors.forename: Tarannum
authors.initials: T
authors.lastname: Samina
mesh_terms: D000293:Adolescent; D000818:Animals; D020520:Brain Infarction / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D020768:Middle Cerebral Artery / Q000473:pathology*; D017840:Daboia; D012909:Snake Bites / Q000150:complications*