Alar Timucin, Degirmenci Yildiz, Ozisik Karaman Handan Isin
Thorax Surgery Department;
Neurology Department, Canakkale Onsekiz Mart University, Canakkale, Turkey.
Clin Pract. 2011 Nov 2;1(4):e94. doi: 10.4081/cp.2011.e94. eCollection 2011 Sep 28.
Lightning injury is the second most common cause of weather-related deaths in the United States. Despite the several neurological complications such as polyneuropathy, myelopathy, spinal cord injury, motor neuron disease due to the lightning-induced injury, there is no documented case of unilateral diaphragmatic paralysis. We describe the case of a patient with a history of lightning strike at childhood period, prior the onset of isolated, diaphragmatic paralysis, unilaterally. Clinical and electrophysiological findings suggest an injury restricted to the phrenic nerve, unilaterally.
在美国，雷击伤是与天气相关死亡的第二大常见原因。尽管雷击伤会导致多种神经并发症，如多发性神经病、脊髓病、脊髓损伤、运动神经元病，但尚无单侧膈肌麻痹的记录病例。我们描述了一名儿童期有雷击史的患者，其在出现孤立的单侧膈肌麻痹之前的情况。临床和电生理检查结果提示损伤仅局限于单侧膈神经。
