Chaudhary D, Singh H, Mohan Kumar H, Sharma N. Autonomic dysfunction with areflexic quadriplegia: An unusual presentation of snake envenomation.
Am J Emerg Med 2021;
53:283.e5-283.e6. [PMID:
34598815 DOI:
10.1016/j.ajem.2021.09.020]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Revised: 08/11/2021] [Accepted: 09/07/2021] [Indexed: 11/30/2022] Open
Abstract
Rapidly progressing descending areflexic quadriplegia with autonomic dysfunction in the form of hypertension, tachycardia, hypersalivation, sweating and lacrimation in the absence of proper history from attendants poses a challenge in emergency area. Neuroparalytic snake envenomation by elapid species has been known to produce autonomic symptoms and even locked-in states. Here we present a case of young male with rapidly progressing areflexic quadriplegia with autonomic dysfunction; with no documented history of snake bite who improved after antisnake venom and ventilatory support.
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