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J Korean Med Sci.  2004 Aug;19(4):631-633. 10.3346/jkms.2004.19.4.631.

Anticholinesterase Therapy for Patients with Ophthalmoplegia Following Snake Bites: Report of Two Cases

Affiliations
  • 1Department of Emergency Medicine, College of Medicine, Korea University, Seoul, Korea. kuedchoi@korea.ac.kr

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.

Keyword

Snake Bites; Ophthalmoplegia; Cholinesterase Inhibitors; Agkistrodon

MeSH Terms

Adolescent
Animals
Child
Cholinesterase Inhibitors/*therapeutic use
Diplopia/drug therapy/etiology
Female
Humans
Male
Neostigmine/therapeutic use
Ophthalmoplegia/*drug therapy/*etiology
Snake Bites/*complications
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