MULTIPLE HEMORRHAGIC BRAIN INFARCTS AFTER VIPER ENVENOMATION

EFSTATHIOS J. BOVIATSIS 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

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ANDREAS T. KOUYIALIS 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

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GEORGE PAPATHEODOROU 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

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MARO GAVRA 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

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STEFANOS KORFIAS 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

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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

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DOI:
https://doi.org/10.4269/ajtmh.2003.68.253
Volume/Issue:
Volume 68: Issue 2
Page(s):
253–257
Restricted access
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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.

Copyright:
Copyright 2003 The American Society of Tropical Medicine 2003
Received:
22 Jul 2002
|
Accepted:
28 Oct 2002
|
Published Online:
Feb 2003
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
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