Huan-Jui Yeh, Chih-Yang Liu, Huei-Yu Lo, Po-Chih Chen
Department of Physical Medicine and Rehabilitation, Taoyuan General Hospital Department of Health, Taoyuan, Taiwan.
Surg Neurol Int. 2010 Dec 17;1:83. doi: 10.4103/2152-7806.74093.
Acute stroke is not a common complication of electrical injury, and only a few cases of acute stroke have been reported for lightning or high-voltage injuries.
We present the case of a man who suffered from a low-voltage electrical injury followed by ischemic stroke. Magnetic resonance angiography showed segmental narrowing of the right internal carotid artery and right middle cerebral artery. The patient underwent thrombolytic therapy and catheter-assisted angioplasty. The low-voltage current-induced vasospasm rather than direct vascular injury, and this may explain why the intracranial defect occurred away from the electrical current pathway.
Electric shock injury with low-voltage alternating currents and prolonged contact period may cause ischemic stroke.
急性中风并非电损伤的常见并发症，仅有少数雷击伤或高压电损伤后发生急性中风的病例报道。
我们报告一例男性患者，其遭受低压电损伤后发生缺血性中风。磁共振血管造影显示右侧颈内动脉和右侧大脑中动脉节段性狭窄。患者接受了溶栓治疗及导管辅助血管成形术。低压电流引起血管痉挛而非直接血管损伤，这或许可以解释为何颅内病变发生在远离电流通路处。
低压交流电电击伤且接触时间延长可能导致缺血性中风。
