Hemorrhagic Stroke Revealing a Snake Bite: A Case Report

Abstract

In Morocco, envenomations caused by viper bites and scorpion stings are frequent and associated with high lethality. It occurs mainly during the summer season with a peak between June and August. It is a medical emergency requiring intensive care. It is a life-threatening disease mainly due to the systemic hemorrhagic syndrome. Here, we present the clinical course of a patient in his 50s who suffered a snakebite and describe the neurological sequelae. The patient was admitted to the emergency room in a state of unconsciousness with gangrene on the right foot. An emergency brain scan showed meningeal hemorrhage and intracerebral hematomas. The biological assessment revealed disseminated intravascular coagulation. The evolution of the clinical course was rapidly unfavorable and the patient died within 24 hours of admission.

Surgical reconstruction for spheno‐orbital meningioma extending into the sphenoid sinus with hyperostosis

“…SOMs are a unique subgroup of meningiomas that exhibit a sheet‐like appearance and are associated with hyperostosis 6,8,9 . When SOMs invade extracranial regions, they may exhibit two growth patterns: infiltration through natural openings, and hyperostosis formation.…”

“…Infiltration through natural openings, such as the SOF, is a common route for tumor spread from the intracranial space to the orbit 1 . On the other hand, hyperostosis formation occurs when meningiomatous cells invade the Haversian canals, 10 leading to bone overgrowth and extracranial tumor infiltration 9 . In the present case, the association of intraorbital and temporal muscle lesions with spheno‐orbital bone hyperostosis and planum sphenoidal hyperostosis in the sphenoid sinus lesion further emphasizes the importance of identifying these growth patterns in meningiomas.…”