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电击创伤后罕见的白质脑病病例。

Infrequent case of leucoencephalopathy after electric shock trauma.

作者信息

Grisales Julián Eduardo, Quintana Valentina, Laverde Maria Fernanda, Bonilla Camilo Hernán, Márquez Juan Camilo, Shinchi Alberto Masaru

机构信息

School of Health Sciences, Universidad Icesi, Cali, Colombia.

Department of Radiology and Diagnostic Imaging, Fundación Valle del Lili, Cali, Colombia.

出版信息

Radiol Case Rep. 2025 Mar 18;20(6):2825-2828. doi: 10.1016/j.radcr.2025.02.066. eCollection 2025 Jun.

Abstract

Due to the low frequency and nature of electric injuries, and the different implied mechanisms of trauma, which can manifest in different organs and systems depending on the time of exposure, voltage, amperage and intrinsic resistance of body tissue, the presentation and consequences of the trauma are heterogeneous, and difficult to characterize. We present the case of a previously healthy adult patient who had a high voltage electric injury, resulting in a diffuse brain leukoencephalopathy with delayed image presentation in MRI as an early complication, and a short review of the mechanisms of electric injury which will help us to understand this pathology and its manifestations in the central nervous system.

摘要

由于电击伤的发生率较低且性质特殊,以及创伤的潜在机制不同,其会根据暴露时间、电压、电流强度和身体组织的固有电阻在不同器官和系统中表现出来,所以创伤的表现和后果具有异质性,难以进行特征描述。我们报告了一例既往健康的成年患者,其遭受高压电击伤,早期并发症为磁共振成像(MRI)延迟显像的弥漫性脑白质脑病,并对电击伤的机制进行简要回顾,这将有助于我们理解这种病理情况及其在中枢神经系统中的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/685c/11964745/43b48c1b89c7/gr1.jpg

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