可逆性脑死亡：蛇中毒的罕见表现

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL

Indian Journal of Medical Specialities Pub Date : 2023-01-01 DOI:10.4103/injms.injms_125_22

Ankusha Patra, Vrinda Goel, S. Narang, A. Aggarwal

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引用次数: 0

摘要

蛇咬伤是一个严重的公共卫生问题，也是世界卫生组织被忽视的热带疾病名单中的优先事项之一。在印度，它显著增加了与环境感染相关的发病率和死亡率。神经毒性毒蛇咬伤可表现为无症状表现、上睑下垂、完全性内外眼肌麻痹和完全性呼吸衰竭等症状。这是一例22岁男性的病例报告，他表现为双侧上睑下垂和即将发生的呼吸衰竭。他很快就陷入了深度昏迷，脑干反射缺失（足底无声，瞳孔固定，玩偶的眼睛反射缺失），这暗示着脑死亡。他接受了多价抗蛇毒、抗胆碱酯酶和支持性治疗，并完全康复，取得了良好的效果。

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Reversible brain death: A rare manifestation of snake envenomation

Snakebite is a serious public health problem and one of the priorities in WHO's list of neglected tropical diseases. It significantly increases morbidity and mortality associated with envenomation in India. A neurotoxic snakebite can present in the form of symptoms ranging from asymptomatic presentation, ptosis, and complete external and internal ophthalmoplegia to complete respiratory failure. This is a case report of a 22-year-old male, who presented with bilateral ptosis and impending respiratory failure. He soon became deeply comatose, with absent brain stem reflexes (mute plantar, fixed pupils, and the absence of the doll's eye reflex) which were suggestive of brain death. He was treated with polyvalent anti-snake venom, anticholinesterases, and supportive therapy and recovered completely with an excellent outcome.

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来源期刊

Indian Journal of Medical Specialities MEDICINE, GENERAL & INTERNAL-

自引率

16.70%

发文量

期刊介绍： The Indian Journal of Medical Specialities is an all-encompassing peer-reviewed quarterly journal. The journal publishes scholarly articles, reviews, case reports and original research papers from medical specialities specially pertaining to clinical patterns and epidemiological profile of diseases. An important highlight is the emphasis on undergraduate and postgraduate medical education including various aspects of scientific paper-writing. The journal gives priority to research originating from the developing world, including from the tropical regions of the world. The journal also publishes special issues on health topics of current interest. The Indian Journal of Medical Specialities is one of the very few quality multispeciality scientific medical journals.