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논문 리스트

2020
독사교상 후 일측 전정신경염: 발생에는 인과관계가 있는가? Unilateral Vestibular Neuritis after Snakebite: Is There a Causal Relationship?
대한평형의학회
논문정보
Publisher
Research in Vestibular Science
Issue Date
2020-12-31
Keywords
-
Citation
-
Source
-
Journal Title
-
Volume
19
Number
4
Start Page
144
End Page
148
DOI
ISSN
20928882
Abstract
Vast majority of triggering factors preceding vestibular neuritis (VN) are un-known, although many cases are associated with viral infection. A 55-year-old woman was bitten by a viper on her right hand, and she was treated with antivenom at the primary clinic. Three days later, acute persistent vertigo was developed. Neuro-otologic examinations revealed spontaneous left-beating nys-tagmus and abnormal head impulse test in the right side. Taken together with negative result of brain magnetic resonance imaging, she was diagnosed with a right VN. Various neurological complications such as paralysis, optic neuritis, and stroke can occur after snakebite envenoming. In this case, given the time interval between snakebite and development of dizziness, snakebite envenoming might be a possible predisposing factor of VN as a proinflammatory condition rather than a direct cause of VN. Furthermore, the VN of this case was probably caused by late adverse reactions after antivenom administration. Since about 10% of the snake-bitten patients have complained dizziness, detailed neuro-otologic evaluations may lead to a proper understanding of pathomechanism and a correct diagnosis.

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