Ari A B
121 General Hospital, P.O. Box 487, APO, AP 96205, USA.
Mil Med. 2001 Jul;166(7):667-9.
Snake venom can cause myriad local and systemic signs and symptoms. Neurotoxic effects include difficulty seeing, diplopia, difficulty in opening the mouth, speaking, or swallowing, and difficulty getting out of bed the morning after the snakebite. Because of the unique structure of the extraocular muscles, they are particularly susceptible to the neurotoxin. Rarely, though, are symptoms of snakebite confined to the extraocular muscles. This case report describes a patient who experienced only extraocular manifestations of envenomation. It is important for clinicians to recognize this unique neurotoxic manifestation and to begin treatment of snakebites, because delay in treatment could cause permanent injury and even death.
蛇毒可引发无数局部和全身的体征及症状。神经毒性作用包括视物困难、复视、张口、说话或吞咽困难，以及蛇咬伤后次日晨起起床困难。由于眼外肌的独特结构，它们对神经毒素特别敏感。不过，蛇咬伤的症状很少仅局限于眼外肌。本病例报告描述了一名仅出现蛇毒中毒眼外表现的患者。临床医生认识到这种独特的神经毒性表现并开始治疗蛇咬伤很重要，因为治疗延迟可能导致永久性损伤甚至死亡。
