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Catastrophic Acute Ischemic Stroke After Crotalidae Polyvalent Immune Fab (Ovine)- Treated Rattlesnake Envenomation  Sean P. Bush, MD, Graham G. Mooy,

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Presentation on theme: "Catastrophic Acute Ischemic Stroke After Crotalidae Polyvalent Immune Fab (Ovine)- Treated Rattlesnake Envenomation  Sean P. Bush, MD, Graham G. Mooy,"— Presentation transcript:

1 Catastrophic Acute Ischemic Stroke After Crotalidae Polyvalent Immune Fab (Ovine)- Treated Rattlesnake Envenomation  Sean P. Bush, MD, Graham G. Mooy, Tammy H. Phan  Wilderness & Environmental Medicine  Volume 25, Issue 2, Pages (June 2014) DOI: /j.wem Copyright © 2014 Wilderness Medical Society Terms and Conditions

2 Figure 1 Platelet counts, fibrinogen levels, and fab antivenom dosing over time. Stroke symptoms onset approximately 11 hours after the snakebite. Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2014 Wilderness Medical Society Terms and Conditions

3 Figure 2 Neurological exam revealed right facial paresis sparing the forehead. Patient consented to picture for educational use. Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2014 Wilderness Medical Society Terms and Conditions

4 Figure 3 Brain MRI showed infarctions.
Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2014 Wilderness Medical Society Terms and Conditions

5 Figure 4 Platelet counts, fibrinogen levels, and fab antivenom dosing over time. Stroke symptoms onset approximately 3 days after the snakebite. Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2014 Wilderness Medical Society Terms and Conditions

6 Figure 5 On neurological exam, patient was found to have left facial paresis without forehead involvement. Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2014 Wilderness Medical Society Terms and Conditions

7 Figure 6 Brain MRI showed infarction.
Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2014 Wilderness Medical Society Terms and Conditions

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