Annals of African Medicine

CASE REPORT
Year
: 2019  |  Volume : 18  |  Issue : 2  |  Page : 111--114

Status epilepticus and bilateral middle cerebral artery infarction: A rare presentation after viper bite


Durjoy Lahiri, Vishal Madhukar Sawale, Souvik Dubey, Biman Kanti Roy, Shyamal Kumar Das 
 Department of Neurology, Bangur Institute of Neurosciences, IPGMER and SSKM Hospital, Kolkata, West Bengal, India

Correspondence Address:
Dr. Durjoy Lahiri
10/1 Roy Para Bye Lane, P. O. Sinthee, Kolkata - 700 050, West Bengal
India

Owing to the antihemostatic property of viper venom, hemorrhagic complications including intracerebral hemorrhage are the most commonly encountered after viper bite. Ischemic strokes have been rarely reported after viper envenomation, and its occurrence has been attributed to multiple mechanisms. Postsnakebite seizures are known to occur after neurotoxic bite. Here, we report the case of a viper bite victim who developed status epilepticus within 3 h after viper bite. He had only mild signs of local envenomation, and prolonged whole blood clotting time was the only manifestation of systemic envenomation. Subsequently, he was found to have developed right hemiparesis and global aphasia. Brain imaging revealed large infarcts in bilateral middle cerebral artery (MCA) territories. We report this as a unique case of viper bite which presented to the emergency room with status epilepticus. Moreover, bilateral MCA infarct, as was found in this case, is genuinely rare in scientific literature. Finally, the absence of overt features of envenomation makes this case stand out from other similar reported occurrences.


How to cite this article:
Lahiri D, Sawale VM, Dubey S, Roy BK, Das SK. Status epilepticus and bilateral middle cerebral artery infarction: A rare presentation after viper bite.Ann Afr Med 2019;18:111-114


How to cite this URL:
Lahiri D, Sawale VM, Dubey S, Roy BK, Das SK. Status epilepticus and bilateral middle cerebral artery infarction: A rare presentation after viper bite. Ann Afr Med [serial online] 2019 [cited 2019 Jun 17 ];18:111-114
Available from: http://www.annalsafrmed.org/article.asp?issn=1596-3519;year=2019;volume=18;issue=2;spage=111;epage=114;aulast=Lahiri;type=0