干旱区生态环境知识资源中心(Arid): A CASE OF ISCHAEMIC STROKE FOLLOWING CERASTES CERASTES SNAKE BITE IN LIBYA

Arid

	A CASE OF ISCHAEMIC STROKE FOLLOWING CERASTES CERASTES SNAKE BITE IN LIBYA
	Ozen, Selin; Guzel, Sukran
通讯作者	Ozen, S
来源期刊	AFRICAN JOURNAL OF NEUROLOGICAL SCIENCES
ISSN	1015-8618
EISSN	1992-2647
出版年	2020
卷号	39 期号:1 页码:21-24
英文摘要	Background: Cerastes cerastes is a venomous species of viper native to the deserts of northern Africa and parts of the Middle East. Reported cases of ischaemic stroke following a Cerastes cerastes bite are extremely few. Here we describe a case of ischaemic stroke occurring four days after envenomation by C.cerastes. Case presentation: A 26-year-old male was admitted to our rehabilitation unit with a history of ischaemic stroke and right sided hemiplegia. Four months previously he had been bitten by a C.cerastes viper in Libya. Four days after envenomation the patient developed sudden onset of aphasia and right sided weakness. Brain magnetic resonance imaging (MRI) revealed ischaemia in the territory of the left middle cerebral artery. On admission to our hospital, routine blood tests, coagulopathy and vasculitis screening was normal. Colour doppler ultrasound imaging of the carotid and vertebral arteries, MR angiography, transthoracic and transoesophageal echocardiography and Holter electrocardiogram were normal. A daily dose of aspirin 100 mg and physical therapy program was commenced. Conclusion: Only three cases of ischaemic stroke following C.cerastes bite have been reported in the literature. Hypotension, endothelial injury, hypercoagulability and vasculitis have been suggested as possible mechanisms for its occurrence. This probable case of stroke due to envenomation shows that stroke may occur as late as four days after the snake bit and highlights the importance of early administration of antivenom. Patient education on this subject maybe considered an important public health issue in areas of Africa and Asia in which viper bites occur.
英文关键词	C. cerastes hemiplegia ischaemia snake stroke
类型	Article
语种	英语
收录类别	ESCI
WOS记录号	WOS:000594481900004
WOS关键词	VIPER
WOS类目	Clinical Neurology
WOS研究方向	Neurosciences & Neurology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/334774
作者单位	[Ozen, Selin; Guzel, Sukran] Baskent Univ, Dept Phys Med & Rehabil, Fac Med, Ankara, Turkey
推荐引用方式 GB/T 7714	Ozen, Selin,Guzel, Sukran. A CASE OF ISCHAEMIC STROKE FOLLOWING CERASTES CERASTES SNAKE BITE IN LIBYA[J],2020,39(1):21-24.
APA	Ozen, Selin,&Guzel, Sukran.(2020).A CASE OF ISCHAEMIC STROKE FOLLOWING CERASTES CERASTES SNAKE BITE IN LIBYA.AFRICAN JOURNAL OF NEUROLOGICAL SCIENCES,39(1),21-24.
MLA	Ozen, Selin,et al."A CASE OF ISCHAEMIC STROKE FOLLOWING CERASTES CERASTES SNAKE BITE IN LIBYA".AFRICAN JOURNAL OF NEUROLOGICAL SCIENCES 39.1(2020):21-24.