Delayed Visual Loss in a Patient with Snake Bite: Case Report of an Unusual Neuro-Ophthalmic Presentation

Neurotoxin-related optic neuritis (ON) after snake bite is uncommon. Here, we present a case of a 70-year-old female who developed bilateral painless loss of vision after she received treatment with anti-snake venom (ASV). She had only perception of light on assessment of visual acuity on admission...

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Autores principales: Kuikel, Sandip, Rimal, Suman, Ojha, Rajeev, Sitaula, Sanjeeta, Karn, Ragesh, Gajurel, Bikram, Rajbhandari, Reema, Gautam, Niraj, Paudel, Sunanda, Shrestha, Aashish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Single Case − General Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9035915/
https://www.ncbi.nlm.nih.gov/pubmed/35530377
http://dx.doi.org/10.1159/000523770
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author Kuikel, Sandip
Rimal, Suman
Ojha, Rajeev
Sitaula, Sanjeeta
Karn, Ragesh
Gajurel, Bikram
Rajbhandari, Reema
Gautam, Niraj
Paudel, Sunanda
Shrestha, Aashish
author_facet Kuikel, Sandip
Rimal, Suman
Ojha, Rajeev
Sitaula, Sanjeeta
Karn, Ragesh
Gajurel, Bikram
Rajbhandari, Reema
Gautam, Niraj
Paudel, Sunanda
Shrestha, Aashish
author_sort Kuikel, Sandip
collection PubMed
description Neurotoxin-related optic neuritis (ON) after snake bite is uncommon. Here, we present a case of a 70-year-old female who developed bilateral painless loss of vision after she received treatment with anti-snake venom (ASV). She had only perception of light on assessment of visual acuity on admission which then improved drastically after administration of intravenous methylprednisolone (MP) after making the provisional diagnosis of ON on the basis of history and clinical findings of the patient. Imaging and visual-evoked potential could not be done initially, and they were done after the administration of intravenous MP which had normal findings. ASV, though being a lifesaving treatment, has been sometimes associated with ON.
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spelling pubmed-90359152022-05-06 Delayed Visual Loss in a Patient with Snake Bite: Case Report of an Unusual Neuro-Ophthalmic Presentation Kuikel, Sandip Rimal, Suman Ojha, Rajeev Sitaula, Sanjeeta Karn, Ragesh Gajurel, Bikram Rajbhandari, Reema Gautam, Niraj Paudel, Sunanda Shrestha, Aashish Case Rep Neurol Single Case − General Neurology Neurotoxin-related optic neuritis (ON) after snake bite is uncommon. Here, we present a case of a 70-year-old female who developed bilateral painless loss of vision after she received treatment with anti-snake venom (ASV). She had only perception of light on assessment of visual acuity on admission which then improved drastically after administration of intravenous methylprednisolone (MP) after making the provisional diagnosis of ON on the basis of history and clinical findings of the patient. Imaging and visual-evoked potential could not be done initially, and they were done after the administration of intravenous MP which had normal findings. ASV, though being a lifesaving treatment, has been sometimes associated with ON. S. Karger AG 2022-03-24 /pmc/articles/PMC9035915/ /pubmed/35530377 http://dx.doi.org/10.1159/000523770 Text en Copyright © 2022 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case − General Neurology
Kuikel, Sandip
Rimal, Suman
Ojha, Rajeev
Sitaula, Sanjeeta
Karn, Ragesh
Gajurel, Bikram
Rajbhandari, Reema
Gautam, Niraj
Paudel, Sunanda
Shrestha, Aashish
Delayed Visual Loss in a Patient with Snake Bite: Case Report of an Unusual Neuro-Ophthalmic Presentation
title Delayed Visual Loss in a Patient with Snake Bite: Case Report of an Unusual Neuro-Ophthalmic Presentation
title_full Delayed Visual Loss in a Patient with Snake Bite: Case Report of an Unusual Neuro-Ophthalmic Presentation
title_fullStr Delayed Visual Loss in a Patient with Snake Bite: Case Report of an Unusual Neuro-Ophthalmic Presentation
title_full_unstemmed Delayed Visual Loss in a Patient with Snake Bite: Case Report of an Unusual Neuro-Ophthalmic Presentation
title_short Delayed Visual Loss in a Patient with Snake Bite: Case Report of an Unusual Neuro-Ophthalmic Presentation
title_sort delayed visual loss in a patient with snake bite: case report of an unusual neuro-ophthalmic presentation
topic Single Case − General Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9035915/
https://www.ncbi.nlm.nih.gov/pubmed/35530377
http://dx.doi.org/10.1159/000523770
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