title: Non-fatal acute haemorrhagic leukoencephalitis following snake bite: A case report.
abstract: Acute haemorrhagic leukoencephalitis (AHL) is a fulminant inflammatory disease of cerebral white matter, characterised by demyelination and haemorrhagic necrosis. The outcome is usually fatal with only few survivors. An unusual presentation of a 44-year-old South Indian farmer who developed AHL following a snake bite is reported. Though the initial brain imaging showed extensive involvement of the white matter with multiple haemorrhagic foci, the patient improved spontaneously with no specific therapy. A repeat magnetic resonance imaging of the brain 28 days after the snake bite confirmed radiological improvement.
authors: Department of Neurological Sciences, Christian Medical College, Vellore, India atprabhakar@gmail.com.
authors: Appaswamy Thirumal
authors: AT
authors: Prabhakar
authors: Department of Radiodiagnosis, Christian Medical College, Vellore, India.
authors: Ragavendra
authors: R
authors: Kamanahalli
authors: Department of Neurological Sciences, Christian Medical College, Vellore, India.
authors: Ajith
authors: A
authors: Sivadasan
authors: Department of Radiodiagnosis, Christian Medical College, Vellore, India.
authors: Elizabeth
authors: E
authors: Joseph
authors: Department of Geriatrics, Christian Medical College, Vellore, India.
authors: Surekha
authors: S
authors: Viggeswarpu
mesh_terms: D000328:Adult; D000818:Animals; D003937:Diagnosis, Differential; D006801:Humans; D004684:Leukoencephalitis, Acute Hemorrhagic / Q000175:diagnosis* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D017840:Daboia; D012909:Snake Bites
keywords: Acute haemorrhagic leukoencephalitis; Hurst’s disease; snake bite