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Case Reports
Autonomic dysfunction with areflexic quadriplegia: An unusual presentation of snake envenomation.
- Deepak Chaudhary, Harpreet Singh, H Mohan Kumar, and Navneet Sharma.
- Department of Internal Medicine, 4th Floor, D-Block, Nehru Hospital, PGIMER, Chandigarh, 160012, India.
- Am J Emerg Med. 2022 Mar 1; 53: 283.e5-283.e6.
AbstractRapidly 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.Copyright © 2021 Elsevier Inc. All rights reserved.
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