PMC5022210_01
From NCCT-brain scan of the patient, intracerebral hemorrhage in the left occipital region (arrow1), to the left lateral ventricle (arrow2), and cerebral edema are evident
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Fig2
This showed a left occipital intracerebral hemorrhage (ICH) with an intraventricular hemorrhage (Fig. 2), cerebral edema, and a developing right-sided hydrocephalus.
Gross edema of the brain and congested blood vessels can be seen here (cerebral gyri were flattened)
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Fig3
There was gross cerebral edema (Fig. 3) and both supratentorial and cerebellar tonsil herniation of the brain too.
Intracerebral hemorrhages (arrow1) that appear to be older than the hemorrhages in the lateral ventricles (arrow2) of the brain are seen here
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Fig4
There were intracerebral hemorrhages and hemorrhages in the lateral ventricles (Fig. 4) extending to the fourth ventricle.
Hemorrhages in the brain stem (arrow A), evidence of brain stem herniation (arrowB), and basal subarachnoid hemorrhages (arrowC) can be seen in this photo
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Fig5
Additionally, brain stem hemorrhages and basal subarachnoid hemorrhages were identified (Fig. 5).
A Russell's viper (Daboia russelii), locally known as "Thith polanga" (meaning spotted viper) and other names. Most Sri Lankans simply call them "polonga" (the viper) since it is the most significant viper they dread
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Fig6
We think the possibility of a species other than those six considered is unlikely, and hence, this circumstance is probably a case of Russell's viper envenomation (Fig. 6).