Medullary Infarction following snake bite is very rare and unusual in children. Neurotoxic snake bite is well-known for its varied presentation as its venom contain various substances which affects various site in neurological system. Here we report a case of a girl child from rural area presented with bilateral ptosis, hemiparesis, bulbar palsy due to medullary infarction. Neurotoxic venom can be a cause for this presentation.