| CASE REPORT |
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| Year : 2022 | Volume
: 9
| Issue : 4 | Page : 142-143 |
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Early morning neuroparalytic syndrome – A diagnostic dilemma: A case report
Bandya Sahoo, Reshmi Mishra, Mukesh Kumar Jain, Jyoti Ranjan Behera, Amit Ranjan Rup, Arun Kumar Das, Sibabratta Patnaik
Department of Pediatric, KIMS, Patia, Bhubaneswar, Odisha, India
Correspondence Address:
Dr. Reshmi Mishra
Department of Pediatric, KIMS, Patia, Bhubaneswar - 751 024, Odisha
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/jpcc.jpcc_35_22
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Snakebite is a commonly seen problem in tropical countries like India. Early morning neuroparalytic syndrome and cranial nerve palsies are the usual presentations. Locked-in syndrome (LIS) is a rare presentation. We present a 1-year and 6-month-old female toddler with acute onset of weakness in all four limbs, who developed LIS. The patient was given anti-snake venom on day 3 of admission and fully recovered after 3 weeks of ventilation. Snakebite should be suspected in any child presenting with early-onset neuroparalytic syndrome or LIS even if there is no history of snakebite or any bite mark.
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