van Spijker Rianne C, Monasch Ed, Compier-Mahboob Noor, Merkies Ingemar S J
Spaarne ziekenhuis, Afd. Neurologie, Hoofddorp, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A774.
A 56-year-old man was referred to the neurological outpatients' department suffering from problems with walking and painful, burning feet after having been struck by lightning 6 months previously. He also experienced orthostatic symptoms and episodes of 'flushing' and was unable to tolerate contact with clothing or bed sheets on his lower legs or feet. After excluding other possible causes, the patient was diagnosed with 'polyneuropathy due to lightning strike'. Gabapentine had a favourable effect on the sensory symptoms. Lightening strikes are a rare cause of polyneuropathy.
一名56岁男性因6个月前遭雷击后出现行走问题及足部疼痛、烧灼感,被转诊至神经科门诊。他还出现体位性症状及“脸红”发作,且小腿或足部无法耐受衣物或床单接触。排除其他可能病因后,该患者被诊断为“雷击所致多发性神经病”。加巴喷丁对感觉症状有良好疗效。雷击是多发性神经病的罕见病因。