Narang Sanjeev K, Paleti Srikanth, Azeez Asad M A, Samina Tarannum
Department of General Medicine, Mamata General Hospital, Mamata Medical College, Khammam, Andhra Pradesh, India.
Neurol India. 2009 Jul-Aug;57(4):479-80. doi: 10.4103/0028-3886.55594.
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.
蛇咬伤后发生缺血性中风很罕见。我们报告一名18岁男性，被罗素蝰蛇咬伤后出现右侧偏瘫伴表达性失语。T2加权磁共振成像显示左侧大脑中动脉供血区梗死。这种情况下脑梗死的可能机制包括弥散性血管内凝血、毒素诱导的血管炎和内皮损伤。
