Ratnayake B, Emmanuel E R, Walker C C
St Andrews Centre for Plastic Surgery, St Andrew's Hospital, Billericay, Essex, UK.
Burns. 1996 Nov;22(7):574-7. doi: 10.1016/0305-4179(96)00040-x.
Neurological complications secondary to electrical injury can manifest themselves either early or late. A small percentage of these patients develop delayed peripheral neuropathy. However, patients experiencing transient spinal cord symptoms have been described. We describe the development of a lower motor neurone syndrome affecting all the limbs in a patient following a significant electrical injury, which although expected to cause spinal cord necrosis showed no evidence of this on magnetic resonance imaging. The fact that neurophysiology was unable to localize the problem made this case all the more perplexing. Similar cases reported in the literature are discussed.
电击伤继发的神经并发症可在早期或晚期出现。这些患者中有一小部分会发生迟发性周围神经病变。然而，也有患者出现过短暂性脊髓症状的描述。我们报告了一例严重电击伤后出现影响四肢的下运动神经元综合征的病例，尽管预计会导致脊髓坏死，但磁共振成像未显示出相关证据。神经生理学无法定位问题这一事实使得该病例更加令人困惑。文中还讨论了文献中报道的类似病例。
