Anticholinesterase therapy for patients with ophthalmoplegia following snake bites: report of two cases

J Korean Med Sci. 2004 Aug;19(4):631-3. doi: 10.3346/jkms.2004.19.4.631.

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.

Publication types

  • Case Reports

MeSH terms

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

Substances

  • Cholinesterase Inhibitors
  • Neostigmine