J Korean Neurol Assoc > Volume 16(4); 1998 > Article
Journal of the Korean Neurological Association 1998;16(4): 569-573.
살모사 교상 후에 발생한 뇌간경색
권석범, 이병철 , 배재천 , 황성희 , 김대훈
한림대학교 의과대학 신경과학교실
Brainstem Infarction Following Snake Bite
Seok-Beom Kwon, M.D., Byung-Chul Lee, M.D., Jae-Chun Bae, M.D., Sung-Hee Hwang, M.D., Dae-Hun Kim, M.D.
Department of Neurology, Hallym University College of Medicine,
Abstract
Bleeding complications of central nervous system following snake bite are well known. However, nonhemorrhagic manifestations such as ischemic stroke are extremely rare. As far as we know, only four such instances involving middle cerebral artery territory have ever been reported in the literature up to now. A 53-year-old farmer noted right side motor weakness and severe dysarthria 3 hours after a snake bite on right middle finger. Magnetic resonance T2WI showed high signal intensity on left pontine region extending to basal surface and bilateral tegmentum of the pons. He had neither atherogenic risk factors nor cardiogenic embolic sources. Laboratory findings were within normal limits except for mild consumptive coagulopathy. Cerebral angiogram revealed abrupt occlusion of proximal basilar artery. We report a case of brainstem infarction caused by a Korean viper (Agkistrodon blomhoffii brevicaudus) bite and discuss possible mechanisms for cerebral infarction. Key words : Brainstem infarction, Snake bite, Agkistrodon blomhoffii brevicaudus


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
(ZIP 03163) #1111, Daeil Bldg, 12, Insadong-gil, Jongno-gu, Seoul, Korea
Tel: +82-2-737-6530    Fax: +82-2-737-6531    E-mail: jkna@neuro.or.kr                

Copyright © 2024 by Korean Neurological Association.

Developed in M2PI

Close layer