Jain Rajendra S, Gupta Pankaj K, Handa Rahul, Nagpal Kadam, Prakash Swayam, Agrawal Rakesh
Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
J Stroke Cerebrovasc Dis. 2014 Jul;23(6):1721-3. doi: 10.1016/j.jstrokecerebrovasdis.2013.12.023. Epub 2014 Jan 11.
Electrical injuries are of very common occurrence in India and can be rarely fatal. Usually most of the patients recover without any serious complications. Rarely, neurologic aftereffects have been observed in some survivors. These neurologic insults can occur as immediate or delayed manifestations and can affect the nervous system at various levels resulting in hemiplegia, aphasia, parkinsonism, choreoathetosis, and can also involve brainstem, spinal cord, peripheral nerves, and autonomic nervous system. The involvement of vertebrobasilar territory is a rare complication of electrical injury. We herein report a case of 55-year-old male laborer who presented with vertebrobasilar territory ischemic stroke, which occurred 2 weeks after an electrical injury. To the best of our knowledge, this is the first ante mortem case report of a posterior circulation ischemic stroke occurring as a delayed complication of electrical injury.
电击伤在印度非常常见，很少会致命。通常大多数患者能康复且无严重并发症。少数情况下，一些幸存者会出现神经系统后遗症。这些神经损伤可表现为即时或延迟症状，可在不同层面影响神经系统，导致偏瘫、失语、帕金森症、舞蹈手足徐动症，也可累及脑干、脊髓、周围神经和自主神经系统。椎基底动脉区域受累是电击伤的罕见并发症。我们在此报告一例55岁男性劳工，他在电击伤后2周出现椎基底动脉区域缺血性中风。据我们所知，这是首例生前报告的作为电击伤延迟并发症的后循环缺血性中风病例。
