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NEUROLOGY 1985;35:589
© 1985 American Academy of Neurology

Neurologic complications of a coral snake bite

L. Creed Pettigrew, MD and J. Peter Glass, MD

Department of Neurology (Dr. Pettigrew), University of Texas Medical School at Houston; and the Section of Neurology (Dr. Glass), University of Texas System Cancer Center, M.D. Anderson Hospital and Tumor Institute, Houston, TX.

A 27-year-old man was bitten by a coral snake in Mexico. Within 24 hours he had ptosis, dysphonia, difficulty chewing, and limb weakness. His symptoms peaked at 72 hours with loss of ambulation. Neurologic examination was consistent with severe myasthenia. Repetitive stimulation of the median nerve showed a postsynaptic defect that was not corrected by edrophonium. He was monitored in an intensive care unit, but received no antivenom globulin or acetylcholinesterase inhibitors. The syndrome abated in 3 weeks.

Address correspondence and reprint requests to Dr. Pettigrew, University of Texas Medical School at Houston, Department of Neurology, 6431 Fannin, Houston, TX 77030.

Presented in part ai the 36th annual meeting of the American Academy of Neurology, Bostun, MA, April 1984.

Accepted for publication August 6, 1984.




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[Abstract] [PDF]


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