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印度罗素蝰蛇咬伤后缺血性中风的罕见病例系列

A Rare Case Series of Ischemic Stroke Following Russell's Viper Snake Bite in India.

作者信息

Pothukuchi Venkata Krishna, Kumar Alok, Teja Chennamsetty, Verma Archana

机构信息

Department of Internal Medicine, Siddhartha Medical College and Government General Hospital, Vijayawda, Andhra Pradesh, India.

出版信息

Acta Med Indones. 2017 Oct;49(4):343-346.

Abstract

Snakebite is an important medical problem in India. Among their various manifestations, cerebral complications are uncommonly found in literature. Moreover, Ischemic stroke following snake bite is quite rare. Here we report a case series of two such cases that developed neurological manifestations following Russell's viper bite. On computerized tomography (CT) scan of brain; cerebral infarcts were revealed. Their likely mechanisms are discussed in present study which include disseminated intravascular coagulation, toxin induced vasculitis and endothelial damage.

摘要

蛇咬伤在印度是一个重要的医学问题。在其各种表现中,脑部并发症在文献中并不常见。此外,蛇咬伤后发生缺血性中风相当罕见。在此,我们报告一组两例这样的病例系列,它们在被罗素蝰蛇咬伤后出现了神经学表现。脑部计算机断层扫描(CT)显示有脑梗死。本研究讨论了其可能的机制,包括弥散性血管内凝血、毒素诱导的血管炎和内皮损伤。

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