Balla, PujanBaidya, SmritiShahi, Kul RajPaudel, Khechar Nath2025-11-062025-11-062024https://hdl.handle.net/20.500.14572/3062Pujan Balla Province Hospital, Surkhet Author https://orcid.org/0000-0002-6793-2625 Smriti Baidya Province Hospital, Surkhet Author https://orcid.org/0000-0002-0404-9835 Kul Raj Shahi Province Hospital, Surkhet Author https://orcid.org/0009-0002-7908-0164 Khechar Nath Paudel Province Hospital, Surkhet Author https://orcid.org/0009-0006-9982-7439Abstract: Neurotoxic envenomation from snake bites, particularly krait bites, can mimic brain death. A 17-year-old male was referred to our hospital intubated, presenting with clinical features consistent with brain death. However, the absence of a clear preceding event and his residence in a snakebite-endemic region raised suspicion of snakebite. Prompt administration of anti-snake venom led to significant recovery, and he was discharged without neurological deficits. This case underscores the need for clinicians to recognize neurotoxic snake bites as a potential differential diagnosis of brain death, particularly in resource-limited endemic areas where diagnostic capabilities may be restricted.en-USAnti-snake venombrain deathsnakebiteArticle