Author(s): Upendranath Upadhyay1, Udit Upadhyay2, Nayan Kishore Mohanty3, Sarat Kumar Behera4
Snakebite cases in India is around 6,00,000 to 16,00,000 with deaths around 11,000 to 25,000 (in Odisha around 1000 snakebite deaths per annum). Highest occurrence is seen in monsoon (June to September) probably due to increased exposure to traditional agriculture practice. Imaging plays a limited, but immortal roles in cases with diagnostic dilemma.
MATERIALS AND METHODS
Total snakebite cases admitted to Hi-Tech Medical College from January 2016 to September 2017, and out of these, the number of cases undergone different imaging studies like x-ray, USG, Doppler, CT scan, CT angiography and MRI studies were included under study. The findings were analysed in background of pathophysiology and toxic action of neurotoxic snake venoms.
Out of 52 cases admitted in Hi-Tech Medical College, Bhubaneswar, the total 12 cases (23%) were undergone imaging study. Out of these, 3 cases sent for MRI study to outside diagnostic center due to non-availability of MRI facilities. Other imaging studies are done in our hospital.
Imaging in few cases plays important and decisive role in situations with diagnostic dilemma in prolonged neurological symptoms, delayed neurological complications in local complications and secondary systemic complications.