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Am. J. Trop. Med. Hyg., 68(2), 2003, pp. 253-257
Copyright © 2003 by The American Society of Tropical Medicine and Hygiene

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MULTIPLE HEMORRHAGIC BRAIN INFARCTS AFTER VIPER ENVENOMATION

EFSTATHIOS J. BOVIATSIS, ANDREAS T. KOUYIALIS, GEORGE PAPATHEODOROU, MARO GAVRA, STEFANOS KORFIAS, AND DAMIANOS E. SAKAS
Department of Neurosurgery Evangelismos General Hospital, University of Athens Medical School, Athens, Greece; Department of Radiology, Pireus General Hospital, Athens, Greece; Department of Radiology, Evgenidio Hospital, Athens, Greece

We report the case of a 65-year-old woman who presented with severe neurologic complications after envenomation by a viper snake. A computed tomography (CT) scan revealed multiple brain hemorrhagic infarcts. Conservative treatment in this case proved to be sufficient and repetitive CT scans displayed a complete resolution of the radiologic findings. Possible mechanisms for the cerebral infarctions are discussed. The mechanism of infarctions in this case was believed to be the vasomotor and coagulation disorders caused by the toxins present in the snake’s venom and was one of the reasons that led to conservative treatment.

Received July 22, 2002. Accepted for publication October 28, 2002.

Authors’ addresses: Efstathios J. Boviatsis (E-mail: eboviats{at} med.uoa.gr), Andreas T. Kouyialis (E-mail: Kouyialis{at}hotmail.com), Stefanos Korfias, and Damianos E. Sakas, Department of Neurosurgery, Evangelismos General Hospital, 45-47 Ipsilantou Street, Athens 106 76, Greece, Telephone: 30-10-729-1704, Fax: 30-10-721-5281. George Papatheodorou, Department of Radiology, Pireus General Hospital, 3 Petrou Ralli and Mantoubalou Streets, Pireus, Athens, Greece, Telephone: 30-10-4915281. Maro Gavra, Department of Radiology, Evgenidio Hospital, 10 Tzoumerkon Street, Papagou, Athens, Greece, Telephone: 30-10-6518138.




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H. MERLE, A. DONNIO, L. AYEBOUA, Y. PLUMELLE, D. SMADJA, and L. THOMAS
OCCIPITAL INFARCTION REVEALED BY QUADRANOPSIA FOLLOWING SNAKEBITE BY BOTHROPS LANCEOLATUS
Am J Trop Med Hyg, September 1, 2005; 73(3): 583 - 585.
[Abstract] [Full Text] [PDF]


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Copyright © 2003 by the American Society of Tropical Medicine and Hygiene.