N. Zouari et F. Choyakh, NEUROTOXIC EFFECTS OF COBRA VENOM (NAJA-H AJE-HAJE) ON NEUROMUSCULAR-JUNCTION - A CLINICO-ELECTROMYOGRAPHIC STUDY OF 2 CASES IN TUNISIA, Neurophysiologie clinique, 25(2), 1995, pp. 59-65
Two patients were bitten by tunisian cobras (Naja haje haje). A few ho
urs after the bite they developped generalized paralysis wich progress
ed to respiratory paralysis. Electrophysiological features are similar
to those of myasthenia gravis and exhibit decremental pattern after s
timulation at a frequency of three per second. It is probable that cob
ra neurotoxins act postsynaptically. The neuromuscular blocking activi
ty of snake-venom can be reversed by intravenous neostigmine.