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Early morning neuroparalytic syndrome – A diagnostic dilemma: A case report
oleh: Bandya Sahoo, Reshmi Mishra, Mukesh Kumar Jain, Jyoti Ranjan Behera, Amit Ranjan Rup, Arun Kumar Das, Sibabratta Patnaik
Format: | Article |
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Diterbitkan: | Wolters Kluwer Medknow Publications 2022-01-01 |
Deskripsi
Snakebite is a commonly seen problem in tropical countries like India. Early morning neuroparalytic syndrome and cranial nerve palsies are the usual presentations. Locked-in syndrome (LIS) is a rare presentation. We present a 1-year and 6-month-old female toddler with acute onset of weakness in all four limbs, who developed LIS. The patient was given anti-snake venom on day 3 of admission and fully recovered after 3 weeks of ventilation. Snakebite should be suspected in any child presenting with early-onset neuroparalytic syndrome or LIS even if there is no history of snakebite or any bite mark.