Anticholinesterase Therapy for Patients with Ophthalmoplegia Following Snake Bites: Report of Two Cases.
10.3346/jkms.2004.19.4.631
- Author:
Sung Woo LEE
1
;
In Chul JUNG
;
Young Hoon YOON
;
Suk Hyun HONG
;
Kap Su HAN
;
Sung Hyuk CHOI
;
Yun Sik HONG
Author Information
1. Department of Emergency Medicine, College of Medicine, Korea University, Seoul, Korea. kuedchoi@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Snake Bites;
Ophthalmoplegia;
Cholinesterase Inhibitors;
Agkistrodon
- MeSH:
Adolescent;
Animals;
Child;
Cholinesterase Inhibitors/*therapeutic use;
Diplopia/drug therapy/etiology;
Female;
Humans;
Male;
Neostigmine/therapeutic use;
Ophthalmoplegia/*drug therapy/*etiology;
Snake Bites/*complications
- From:Journal of Korean Medical Science
2004;19(4):631-633
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although ophthalmoplegia following snake bites is not indicative of a serious neurotoxic complication, symptoms of diplopia, dizziness and ocular discomfort can be emotionally devastating for patients. The authors experienced two cases of ophthalmoplegia following snake bites in Korea. The patients complained of diplopia that had developed several hours after the snake bites. The diplopia did not improve with antivenom treatment, but resolved completely after several injections of neostigmine.