{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:05:29Z","timestamp":1787169929115,"version":"build-2736575974"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>\n                    Snakebite is one of the most common complaints related to wilderness medicine. Venomous snakebite manifestation is divided into local and systemic envenomation. For the\n                    <jats:italic toggle=\"yes\">Elapidae<\/jats:italic>\n                    group, the most feared complication is respiratory muscle paralysis due to neurotransmitter malfunction at the neuromuscular junction level which leads to respiratory insufficiency. However, there is a lack of evidence or case report incidence to suggest that it can potentially associate with the development of stroke disorder. We present a rare case of massive posterior circulation infarct in a middle-aged gentleman following a cobra bite\n                    <jats:italic toggle=\"yes\">.<\/jats:italic>\n                    He was brought to our center few hours later following the bite and antivenom was administered. He improved shortly after receiving it. However, he had an abrupt drop in his conscious level several hours later. Noncontrast-enhanced computed tomography (NCCT) brain was performed immediately, but stroke disorder was excluded prematurely. Repeated NCCT imaging which was done 12 h apart showed massive posterior circulation infarction with hydrocephalus. He succumbed to death 3 days later. Given its rarity, the evolution of his clinical condition warrants clinician\u2019s early suspicion of potential stroke-related complications that can occur following a cobra bite.\n                  <\/jats:p>","DOI":"10.4103\/jets.jets_23_23","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T09:46:34Z","timestamp":1692611194000},"page":"185-188","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["A Case of Cobra Bite Complicated with Basilar Artery Occlusion"],"prefix":"10.4103","volume":"16","author":[{"given":"Siti Nasrina Binti","family":"Yahaya","sequence":"first","affiliation":[{"name":"Department of Emergency and Trauma, Hospital Putrajaya, Putrajaya, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Hanif Khan Yusof","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hairuddin Achmad","family":"Sankala","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,8,21]]},"reference":[{"key":"R2-20260514","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1111\/j.1600-0404.2011.01593.x","article-title":"Neurological complications of venomous snake bites: A review","volume":"125","author":"Del Brutto","year":"2012","journal-title":"Acta Neurol Scand"},{"key":"R3-20260514","article-title":"Distribution of Monocled Cobra (Naja kaouthia) in Peninsular Malaysia: A Questionnaire Survey","author":"Ithnin","year":"2017","journal-title":"Poster Presentation, Perhilitan Biodiversity Seminar at Negeri Sembilan, 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