Evidence map›Paper›PMID 36180309›Full record

ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2023

Fatal intracranial bleedings in a viper bite: A case report.

Alagarasan Naveen, Manas Ranjan Sahu, Manoj Kumar Mohanty, Kimi Soumya Padhi, Ashis Patnaik

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Fatal intracranial bleedings in a viper bite.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026
    Article
  3. Clinical case reports · 2025
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Alagarasan NaveenDepartment of Forensic Medicine & Toxicology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
Manas Ranjan SahuDepartment of Forensic Medicine & Toxicology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India. Electronic address: fmt_manas@aiimsbhubaneswar.edu.in.
Manoj Kumar MohantyDepartment of Forensic Medicine & Toxicology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
Kimi Soumya PadhiDepartment of Forensic Medicine & Toxicology, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
Ashis PatnaikDepartment of Neurosurgery, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
All India Institute of Medical Sciences Bhubaneswar · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Viper bite envenomation represents a significant occupational hazard among agricultural workers in India. The viper bite envenomation is usually suspected when a patient presents with predominant local symptoms at the bitten site, including pain, swelling, and necrosis. Further, systemic findings such as diffuse intravascular coagulation, hypotension, and shock may alert physicians of viper bite envenomation rather than a neurotoxic snake bite. However, cerebral complications are rare in viper bites but may potentially fatal. Central nervous system involvement in a viper bite is either due to neurotoxins or hemorrhagins present in the venom, which may induce cerebral thrombosis, ischemia, infarction, and hemorrhage. Here we present a case of a previously healthy adult male who succumbed to extensive subarachnoid, intracerebral, and intraventricular hemorrhages involving bilateral cerebral hemispheres following viper snake bite envenomation. This report highlights the importance of anticipating cerebral complications in viper bite envenomation, a rare occurrence. It also emphasizes the need for early antisnake venom administration to prevent and control systemic envenomation and its complications.

Indexed as

ShockSnake BitesAdultHemorrhageHumansIndiaIntracranial HemorrhagesMaleAnti-snake venomIntracerebral hemorrhageSnake biteSubarachnoid hemorrhageViper

Identifiers

PMID36180309
PMCPMC10071319
OpenAlexW4295951037

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.