Autonomic dysfunction with areflexic quadriplegia: An unusual presentation of snake envenomation.

Deepak Chaudhary, Harpreet Singh, H Mohan Kumar, Navneet Sharma

The American journal of emergency medicine 2022 Mar

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Rapidly 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.

Citation

Deepak Chaudhary, Harpreet Singh, H Mohan Kumar, Navneet Sharma. Autonomic dysfunction with areflexic quadriplegia: An unusual presentation of snake envenomation. The American journal of emergency medicine. 2022 Mar;53:283.e5-283.e6