雷击后周围神经系统和中枢神经系统损伤所致的双侧下肢轻瘫——病例报告
PARAPARESIS FOLLOWING PERIPHERAL AND CENTRAL NERVOUS SYSTEM LESIONS AFTER A LIGHTNING STRIKE - A CASE REPORT.
作者信息
Moyaux Zoé, De Melo Bandeira Maria Ciravegna Fonseca, Gunes Tatar Idil, Randour Gautier, Massardier Mathilde, Van Pesch Vincent, Lejeune Thierry
机构信息
Université catholique de Louvain, Secteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique, NeuroMusculoSkeletalLab (NMSK), Brussels, Belgium.
Cliniques universitaires Saint-Luc, Service de médecine physique et réadaptation, Brussels, Belgium.
出版信息
J Rehabil Med Clin Commun. 2025 Apr 1;8:42545. doi: 10.2340/jrm-cc.v8.42545. eCollection 2025.
OBJECTIVE
To describe a case of paraparesis caused by both peripheral neuropathy and spinal cord injury following a lightning strike, highlighting imaging findings and neurophysiological results to improve understanding and management.
DESIGN
A case report.
PATIENT
A 29-year-old male without significant medical or surgical history, struck by lightning.
METHODS
Neurological evaluation, imaging of the spinal cord, electromyography studies, and somatosensory evoked potential assessments were performed. Imaging findings and peripheral nerve evaluations were compared to the existing literature on lightning-related injuries.
RESULTS
Spinal cord imaging showed hyperintensities with a quadrifocal white matter involvement. Neurophysiological study revealed peripheral motor impairment.
CONCLUSION
This case documents paraparesis resulting from both central and peripheral nervous system damage following a lightning strike. Unique spinal cord imaging results and neurophysiological studies contribute to the understanding of nerve damage mechanisms. Given the increasing frequency of lightning strikes, these findings may help refining clinical management and patient education strategies.
目的
描述一例雷击后因周围神经病变和脊髓损伤导致双下肢轻瘫的病例，强调影像学表现和神经生理学结果，以增进对该病的理解和管理。
设计
病例报告。
患者
一名29岁男性，无重大内科或外科病史，遭雷击。
方法
进行了神经学评估、脊髓成像、肌电图研究和体感诱发电位评估。将影像学表现和周围神经评估结果与现有关于雷击相关损伤的文献进行比较。
结果
脊髓成像显示有四处白质受累的高信号。神经生理学研究显示存在周围运动功能障碍。
结论
本病例记录了雷击后中枢和周围神经系统损伤导致的双下肢轻瘫。独特的脊髓成像结果和神经生理学研究有助于理解神经损伤机制。鉴于雷击频率不断增加，这些发现可能有助于完善临床管理和患者教育策略。
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