SNAKEBITES REMAIN A PUBLIC HEALTH PROBLEM ESPECIALLY IN RURAL AREAS. SNAKEBITE IS CLASSIFIED BY THE WHO AS A NEGLECTED TROPICAL DISEASE. NEUROTOXICITY IS A KEY FEATURE OF SOME ENVENOMINGS, AND THERE ARE MANY UNANSWERED QUESTIONS REGARDING IT. ACUTE NEUROMUSCULAR PARALYSIS IS THE MAIN TYPE OF NEUROTOXICITY AND IS AN IMPORTANT CAUSE OF MORBIDITY AND MORTALITY RELATED TO IT. MECHANICAL VENTILATION, INTENSIVE CARE, ANTIVENOM TREATMENT, OTHER ANCILLARY CARE, AND PROLONGED HOSPITAL STAYS ALL CONTRIBUTE TO A SIGNIFICANT COST OF PROVISION OF CARE. NEUROTOXICITY FROM ELAPID BITE MAY MASQUERADE AS EARLY MORNING NEUROPARALYTIC SYNDROME (EMNS) AND DIAGNOSIS AT THE INITIAL STAGE IS CHALLANGING AS THESE PATIENTSSELDOM HAVE BITE MARKS OR HISTORY OF BEING BITTEN. WE ARE REPORTING A CASE WHO PRESENTED IN THE EMERGENCY WITH PTOSIS AND RESPIRATORY DEPRESSION AND ABSENT GAG REFLEXES, MIMICKING MYAESTHENIA LIKE SYMPTOMS WITH NO OBVIOUS FLANG MARKS ON BODY . AFTER RULING OUT OTHER CAUSES OF SIMILAR CLINICAL PRESENTATIONS AND BASED ON A POSITIVE NEOSTIGMINE CHALLENGE TEST ,PATIENT WAS EMPIRICALLY TREATED WITH A STANDARD ASV REGIMEN AND SUPPORTIVE CARE TO WHICH THE PATIENT RESPONDED WELL.