AN INTERESTING CASE OF ISCHEMIC STROKE FOLLOWING SNAKE BITE

Snake bite commonly causes hemorrhagic stroke which results from hemorrhagins and other hemotoxins presents in the snake venom. Ischemic stroke as a presentation of snake bite is rare. Cerebral complications, particularly ischemic complications, after snake bite are rare. Very few cases of cerebral infarction resulting from a viper bite have been reported. In a study of 309 patients with snake bite, Mosquera, et al. reported cerebrovascular complications in 8 patients (2.6) - 7 hemorrhagic strokes and 1 ischemic stroke. Bashir and Jinkins et al, reported a patient in whom envenomation with Russells viper resulted in hemiplegia and aphasia, consistent with middle cerebral artery infarction. Murthy et al, reported a case of cerebral infarction and diffuse encephalopathy following a viper bite. I report a patient who presented with ischemic stroke following snake bite in Government Rajaji Hospital, Madurai