Ophthalmoplegia in tiger snake envenomation

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

Research output: Contribution to journalArticleResearchpeer-review

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 languageEnglish
Pages (from-to)385-388
Number of pages4
JournalJournal of Clinical Neuroscience
Volume13
Issue number3
DOIs
Publication statusPublished - Apr 2006
Externally publishedYes

Keywords

  • Envenomation
  • Gaze paresis
  • Ophthalmoplegia
  • Presynaptic blockade
  • Snake bite
  • Tiger snake

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