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Year : 2022  |  Volume : 9  |  Issue : 4  |  Page : 142-143

Early morning neuroparalytic syndrome – A diagnostic dilemma: A case report

Department of Pediatric, KIMS, Patia, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Reshmi Mishra
Department of Pediatric, KIMS, Patia, Bhubaneswar - 751 024, Odisha
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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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