title: Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite.
abstract: Cerebrovascular complications are rare following viper bites. A 65-year-old man presented with loss of consciousness and developed haemiparesis following a viper bite. Coagulation parameters were severely deranged. MRI showed acute ischaemic infarction on the left side in the precentral and postcentral gyrus, hemipons and cerebellum. Troponin T was elevated and transient left bundle branch block was seen. The patient had a good outcome following treatment with Anti Snake Venom and supportive therapy. Possible mechanisms of infarction are discussed.
authors.affiliation: Kasturba Medical College, Manipal, Karnataka, India.
authors.forename: Alok
authors.initials: A
authors.lastname: Bhatt
authors.forename: Aravind Ajakumar
authors.initials: AA
authors.lastname: Menon
authors.forename: Rama
authors.initials: R
authors.lastname: Bhat
authors.forename: Kusugodlu
authors.initials: K
authors.lastname: Ramamoorthi
mesh_terms: D000368:Aged; D000818:Animals; D020520:Brain Infarction / Q000209:etiology; D020526:Brain Stem Infarctions / Q000209:etiology*; D002526:Cerebellar Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000209:etiology*; D011149:Pons; D012909:Snake Bites / Q000150:complications*; D059409:Stroke, Lacunar / Q000209:etiology*; D014757:Viper Venoms / Q000506:poisoning*; D017819:Viperidae
chemical_list: D014757:Viper Venoms