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2017 ; 2017
(ä): 1835796
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A Horned Viper Bite Victim with PRES
#MMPMID28487791
Ibrahim AM
; ElSefi TT
; Ghanem M
; Fayed AM
; Shaban NA
Case Rep Neurol Med
2017[]; 2017
(ä): 1835796
PMID28487791
show ga
Neurological complications of snake bites have been well documented in the
literature as neuromuscular paralysis and cerebrovascular complications;
posterior reversible encephalopathy syndrome was rarely described. A 23-year-old
lady presented near full term of her pregnancy with a horned snake Cerastes
cerastes bite; after successful delivery she started complaining of altered
mental status and visual disturbance with ulceration over the site of the snake
bite. On admission, the patient had Glasgow Coma Score of 12, blood pressure
130/80?mmHg, temperature 38°C, sinus tachycardia at 120 beats per minute, severe
dehydration, and reduction in visual acuity to "hand motion" in both eyes with
poor light projection and sluggish pupillary reactions. CT brain was not
conclusive; MRI revealed features of PRES. Treatment was mostly supportive within
one week; the patient regained consciousness; visual disturbance, however,
persisted. This patient as well as the few previously described cases highlights
PRES as a possible complication of snake bites.