A case of viper bite resulting in massive infarction in brain

Russell's Vipers cause vasculotoxic features resulting in acute kidney injury, bleeding manifestation. In our case a 50 years old man with history of snake bite was presented in casualty. He was unconscious; 20 minute whole blood clotting time was deranged, and renal function was abnormal. CT scan of head showed large area of infarct in left hemisphere. Though cerebral hemorrhage is much common, cerebral ischemia following viper bite is an uncommon feature. Despite treatment, anti snake venom and supporting measures the patient could not regain consciousness and eventually succumbed to death.