Aissaoui Y, Hammi S, Chkoura K, Ennafaa I, Boughalem M
Pôle anesthésie réanimation, Hôpital militaire Avicenne, Université Cadi Ayyad, Faculté de médecine et de pharmacie, Avenue Al Mouqaouama, 40100 Marrakech, Maroc.
Bull Soc Pathol Exot. 2013 Aug;106(3):163-6. doi: 10.1007/s13149-013-0304-y. Epub 2013 Aug 9.
Viper envenomation can cause complex disorders of hemostasis. These disorders usually lead to hemorrhagic syndrome. The occurrence of thrombosis is exceptional. This case report describes a severe envenomation by the Saharan horned viper (Cerastes cerastes), complicated by unusual brain injuries: hemorrhagic and ischemic stroke. The physiopathologic link between this serious toxic coagulopathy and the multitude of toxins in the venom of Cerastes cerastes is highlighted.
蝰蛇咬伤可导致复杂的止血功能紊乱。这些紊乱通常会引发出血综合征。血栓形成的情况较为罕见。本病例报告描述了一例由撒哈拉角蝰（Cerastes cerastes）造成的严重咬伤，并伴有不寻常的脑损伤：出血性和缺血性中风。文中强调了这种严重的中毒性凝血病与角蝰毒液中多种毒素之间的病理生理联系。
