Ophthalmoplegia in tiger snake envenomation

Mervyn Ferdinands; Janaka Seneviratne; Terry O'Brien; Owen White

doi:10.1016/j.jocn.2005.04.018

Ophthalmoplegia in tiger snake envenomation

Mervyn Ferdinands, Janaka Seneviratne, Terry O'Brien, Owen White

Research output: Contribution to journal › Article › Research › peer-review

1 Citation (Scopus)

Abstract

Herein, we present the case of a 67-year-old grazier who was bitten by a tiger snake and developed coagulopathy and respiratory distress. The patient required intubation and ventilation in intensive care. There was delayed detection of snake envenomation and administration of antivenom. On extubation several days later, gross external ocular paresis was noted. Clinical testing indicated that the ocular pathology was secondary to neurotoxin-mediated presynaptic blockade. The paresis was partially resolved by the time of discharge one week later. The present case report discusses the possible mechanisms for the delayed development of ophthalmoplegia.

Original language	English
Pages (from-to)	385-388
Number of pages	4
Journal	Journal of Clinical Neuroscience
Volume	13
Issue number	3
DOIs	https://doi.org/10.1016/j.jocn.2005.04.018
Publication status	Published - Apr 2006
Externally published	Yes

Keywords

Envenomation
Gaze paresis
Ophthalmoplegia
Presynaptic blockade
Snake bite
Tiger snake

Access to Document

10.1016/j.jocn.2005.04.018

Cite this

@article{4b4712e002c547d9a2c7b0c9ed7272e1,

title = "Ophthalmoplegia in tiger snake envenomation",

abstract = "Herein, we present the case of a 67-year-old grazier who was bitten by a tiger snake and developed coagulopathy and respiratory distress. The patient required intubation and ventilation in intensive care. There was delayed detection of snake envenomation and administration of antivenom. On extubation several days later, gross external ocular paresis was noted. Clinical testing indicated that the ocular pathology was secondary to neurotoxin-mediated presynaptic blockade. The paresis was partially resolved by the time of discharge one week later. The present case report discusses the possible mechanisms for the delayed development of ophthalmoplegia.",

keywords = "Envenomation, Gaze paresis, Ophthalmoplegia, Presynaptic blockade, Snake bite, Tiger snake",

author = "Mervyn Ferdinands and Janaka Seneviratne and Terry O'Brien and Owen White",

year = "2006",

month = apr,

doi = "10.1016/j.jocn.2005.04.018",

language = "English",

volume = "13",

pages = "385--388",

journal = "Journal of Clinical Neuroscience",

issn = "0967-5868",

publisher = "Elsevier",

number = "3",

}

TY - JOUR

T1 - Ophthalmoplegia in tiger snake envenomation

AU - Ferdinands, Mervyn

AU - Seneviratne, Janaka

AU - O'Brien, Terry

AU - White, Owen

PY - 2006/4

Y1 - 2006/4

N2 - Herein, we present the case of a 67-year-old grazier who was bitten by a tiger snake and developed coagulopathy and respiratory distress. The patient required intubation and ventilation in intensive care. There was delayed detection of snake envenomation and administration of antivenom. On extubation several days later, gross external ocular paresis was noted. Clinical testing indicated that the ocular pathology was secondary to neurotoxin-mediated presynaptic blockade. The paresis was partially resolved by the time of discharge one week later. The present case report discusses the possible mechanisms for the delayed development of ophthalmoplegia.

AB - Herein, we present the case of a 67-year-old grazier who was bitten by a tiger snake and developed coagulopathy and respiratory distress. The patient required intubation and ventilation in intensive care. There was delayed detection of snake envenomation and administration of antivenom. On extubation several days later, gross external ocular paresis was noted. Clinical testing indicated that the ocular pathology was secondary to neurotoxin-mediated presynaptic blockade. The paresis was partially resolved by the time of discharge one week later. The present case report discusses the possible mechanisms for the delayed development of ophthalmoplegia.

KW - Envenomation

KW - Gaze paresis

KW - Ophthalmoplegia

KW - Presynaptic blockade

KW - Snake bite

KW - Tiger snake

UR - http://www.scopus.com/inward/record.url?scp=33645858759&partnerID=8YFLogxK

U2 - 10.1016/j.jocn.2005.04.018

DO - 10.1016/j.jocn.2005.04.018

M3 - Article

C2 - 16513354

AN - SCOPUS:33645858759

SN - 0967-5868

VL - 13

SP - 385

EP - 388

JO - Journal of Clinical Neuroscience

JF - Journal of Clinical Neuroscience

IS - 3

ER -

Ophthalmoplegia in tiger snake envenomation

Abstract

Keywords

Access to Document

Other files and links

Cite this