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Extraocular muscle palsy after snakebite

Keywords: Diplopia , paralytic strabismus , snakebite

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Abstract:

An 11-year-old male was admitted with the diagnosis of snakebite. The bite mark, edema and ecchymosis were recorded on the left hand back. The patient reported binocular diplopia on the fourth day. Restriction was detected in upper and upper-right gazes in the left eye. Inferior oblique muscle palsy was diagnosed and the patient was started to be followed up. Diplopia improved in time and completely disappeared in the fourth month. Eye movements returned to normal. This case was decided to be reported in order to draw attention to extraocular muscle paralysis which is rarely seen in snake envenomation and usually improves spontaneously. (Turk Arch Ped 2012; 47: 134-6)

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