蝰蛇咬伤后并发心肌炎及急性缺血性小脑、脑桥和腔隙性梗死
Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite.
作者信息
Bhatt Alok, Menon Aravind Ajakumar, Bhat Rama, Ramamoorthi Kusugodlu
机构信息
Kasturba Medical College, Manipal, Karnataka, India.
出版信息
BMJ Case Rep. 2013 Sep 6;2013:bcr2013200336. doi: 10.1136/bcr-2013-200336.
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.
摘要
毒蛇咬伤后脑血管并发症罕见。一名65岁男性在被毒蛇咬伤后出现意识丧失并发展为偏瘫。凝血参数严重紊乱。磁共振成像显示中央前回、中央后回、脑桥半侧和小脑左侧急性缺血性梗死。肌钙蛋白T升高，并出现短暂性左束支传导阻滞。经抗蛇毒血清治疗和支持治疗后，患者预后良好。文中讨论了梗死的可能机制。
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