Indian Journal of Neurotrauma 2018; 15(01): 039-040
DOI: 10.1055/s-0037-1612646
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Postelectrocution Massive Brain Infarcts

Kaiser Kareem
1   Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, Jammu and Kashmir, India
,
Khursheed Nayil
1   Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, Jammu and Kashmir, India
,
Zulfikar Ali
2   Department of Anesthesiology, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, Jammu and Kashmir, India
,
Bashir Dar
2   Department of Anesthesiology, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, Jammu and Kashmir, India
,
Altaf Ramzan
1   Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, Jammu and Kashmir, India
› Author Affiliations
Further Information

Publication History

Received: 10 September 2016

Accepted: 31 October 2017

Publication Date:
17 August 2018 (online)

Abstract

Acute brain infarct is an uncommon complication of electrical injury, and only a few cases have been reported. A young man sustained a high-voltage electrical injury followed by a fall from height. Imaging revealed right hemibrain infarct. He was operated for that, but did not make much progress. Electric shock injury with the high-voltage current even for short period of contact may cause massive infarction of brain, and prognosis remains dismal.

 
  • References

  • 1 Wilkinson C, Wood M. High voltage electric injury. Am J Surg 1978; 136 (06) 693-696
  • 2 Hoover BB, Baxter CR, Kirkpatrick MR. Electromyographic findings in high voltage electrical burns: two cases. South Med J 1971; 64 (11) 1392-1394
  • 3 Cherington M, Yarnell P, Lammereste D. Lightning strikes: nature of neurological damage in patients evaluated in hospital emergency departments. Ann Emerg Med 1992; 21 (05) 575-578
  • 4 Huan-Jui Y, Chih-Yang L, Huei-Yu L, Po-Chih C. Acute ischemic stroke in low-voltage electrical injury: a case report. Surg Neurol Int 2010; 1: 83
  • 5 Stanley LD, Suss RA. Intracerebral hematoma secondary to lightning stroke: case report and review of the literature. Neurosurgery 1985; 16 (05) 686-688
  • 6 Janus TJ, Barrash J. Neurologic and neurobehavioral effects of electric and lightning injuries. J Burn Care Rehabil 1996; 17 (05) 409-415
  • 7 Critchley M. Neurological effects of lightning and electricity. Lancet 1934; 1: 68-72
  • 8 Cherington M. Neurologic manifestations of lightning strikes. Neurology 2003; 60 (02) 182-185
  • 9 Echlin FA. Vasospasm and focal cerebral ischemia. An experimental study. Arch Neurol Psychiatry 1942; 47 (01) 77-95
  • 10 Matakas F, Cervós-Navarro J, Roggendorf W, Christmann U, Sasaki S. Spastic constriction of cerebral vessels after electric convulsive treatment. Arch Psychiatr Nervenkr (1970) 1977; 224 (01) 1-9
  • 11 Lee RC, Aarsvold JN, Chen W. et al. Biophysical mechanisms of cell membrane damage in electrical shock. Semin Neurol 1995; 15 (04) 367-374