TY - JOUR KW - Brain death mimicry KW - Krait bite KW - Neurotoxin envenomation AU - Nanayakkara C AU - Lasika R AU - Kuruppu L AB - Neurotoxic snake bites are common in tropical countries, leading to hospital admissions due to symptoms ranging from mild ptosis to severe neuromuscular paralysis with respiratory failure. Among these, krait bites stand out for their potent neurotoxins, which can lead to a deceptive clinical picture mimicking brain death.We present a case of krait envenomation where the patient presented to the emergency care unit, in a state of pseudo-coma, with fixed dilated pupils and absent brain stem reflexes, resembling brain death. Diagnosing such cases in emergency settings is challenging without proper history and diagnostic tests, often necessitating a high level of suspicion. By recognizing this mimicry, timely administration of antivenom and supportive measures can improve patient outcomes. BT - Sri Lanka Journal of Neurology DO - 10.4038/sljon.v11i2.172 LA - ENG M3 - Case Report N2 - Neurotoxic snake bites are common in tropical countries, leading to hospital admissions due to symptoms ranging from mild ptosis to severe neuromuscular paralysis with respiratory failure. Among these, krait bites stand out for their potent neurotoxins, which can lead to a deceptive clinical picture mimicking brain death.We present a case of krait envenomation where the patient presented to the emergency care unit, in a state of pseudo-coma, with fixed dilated pupils and absent brain stem reflexes, resembling brain death. Diagnosing such cases in emergency settings is challenging without proper history and diagnostic tests, often necessitating a high level of suspicion. By recognizing this mimicry, timely administration of antivenom and supportive measures can improve patient outcomes. PB - Sri Lanka Journals Online PY - 2025 EP - 3 T2 - Sri Lanka Journal of Neurology TI - Neurotoxic snake bite mimicking brain death UR - https://sljon.sljol.info/articles/172/files/67bd648a57868.pdf VL - 11 SN - 2279-2295, 2279-2295 ER -