Snake bite toxicity: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Snake bite toxicity: clinical features. Ptosis, Facial weakness, Flaccid limb paralysis, Dysphonia. Fully referenced neurology checklist.

Weakness

  • Ptosis
  • Facial weakness
  • Flaccid limb paralysis
  • Dysphonia
  • Respiratory muscle weakness

Altered consciousness

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Delayed neurological features

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Other neurological features

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Local features

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Other systemic features

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Treatment

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References

  1. Harris JB, Goonetilleke A. Animal poisons and the nervous system: what the Neurologist needs to know. JNNP 2004; 75(Suppl III):iii40-iii46.
  2. Ranawaka UK, Lalloo DG, de Silva HJ. Neurotoxicity in snakebite- the limits of our knowledge. PLoS Negl Trop Dis 2013; 7:e2302.
  3. Kharal GA, Darby RR, Cohen AB. Envenomation seizures. Neurohospitalist 2018; 8:29-30. 
  4. Sharma V, Nayak S, Pattnaik SS, Mohanty AP, Patro S. Snake bite-induced leukoencephalopathy: a rare case. Cureus 2024; 16:e55116.
  5. Lewin MR, Bickler P, Heier T, Feiner J, Montauk L, Mensh B. Reversal of experimental paralysis in a human by intranasal neostigmine aerosol suggests a novel approach to the early treatment of neurotoxic envenomation. Clinical Case Reports 2013; 1:7-15.

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