Table 3.
Clinical feature of 14 neurotoxic viper envenomations observed in the Marseille’s Poison Centre during the 1996-2008 present study. French department codes: 12 = Aveyron, 34 = Hérault, 06 = Alpes Maritimes and 04 = Alpes de Haute Provence.
| French department code | 12 | 34 | 6 | 4 | Total |
|---|---|---|---|---|---|
| Subspecies | Vipera aspis zinnikeri Montpellier city area | Vipera aspis aspis Nice city area | 2 subspecies | ||
| n | 3 | 1 | 5 | 5 | 14 |
| M/F | 1-Feb | Jan-00 | 2-Mar | 1-Apr | 4-Oct |
| Age in years min.-max. | 4-62 | 5 | 32-68 | 36-88 | 4-88 |
| Grade 1/2/3 | 0/3/0 | 0/1/0 | 0/4/1 | 0 /3/2 | 0/11/3 |
| Local signs | |||||
| Local swelling | 2 | 1 | 1 | 2 | 6 (43%) |
| Extensive swelling | 1 | 0 | 4 | 3 | 8 (57%) |
| Neurological symptoms | |||||
| Ptosis | 3 | 1 | 5 | 5 | 14 (100%) |
| Ophtalmoplegia | 2 | 1 | 3 | 3 | 9 (64%) |
| Vision troubles | 1 | 0 | 2 | 3 | 6 (43%) |
| Dysphagia | 1 | 1 | 3 | 1 | 6 (43%) |
| Dysphonia | 1 | 1 | 4 | 0 | 6 (43%) |
| Paresthesias | 1 | 0 | 3 | 1 | 5 (25%) |
| Drowsiness | 2 | 1 | 1 | 0 | 4 (29%) |
| Lips paralysis | 2 | 0 | 1 | 0 | 3 (21%) |
| Muscle weakness | 1 | 0 | 0 | 0 | 1 (7%) |
| Other general symptoms | 3 | 0 | 5 | 5 | 13 (93%) |
| Antivenom treated patients | 2 | 1 | 5 | 5 | 13 (100%) |