Neurological sequelae following a high voltage electrical burn

Ratnayake, B.; Emmanuel, E.R.; Walker, Colin

doi:10.1016/0305-4179(96)00040-x

Cited by 44 publications

(13 citation statements)

References 18 publications

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“…Kalın lif ve özellikle motor lif nöropati-sine daha sık rastlanmaktadır. 8,9 Yayınlar arasında yıldırım çarpması sonrası gelişen brakiyal pleksopati vakaları bildirilmesine karşın, yüksek volt elektrik yaralanmasına bağlı bildirilen brakiyal pleksopati hastasına rastlanmamıştır. 10,11 Olgumuzun ilk bildirilen ve izlemi tamamlanan vaka olması açısından önemli olduğu düşünülmüştür.…”

Section: Discussionunclassified

Brachial Plexopathy Developing After High-Voltage Electrical Injury: Case Report

Varol¹,

Emre²,

Özdolap³

et al. 2016

Turkiye Klinikleri J Case Rep

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Section: Discussionunclassified

Brachial Plexopathy Developing After High-Voltage Electrical Injury: Case Report

Varol¹,

Emre²,

Özdolap³

et al. 2016

Turkiye Klinikleri J Case Rep

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“…A lower limb weakness with sensory loss developed but resolved without intervention over the subsequent 4 months. In another, Ratnayake et al 5 describe a 23-year-old man who made contact with a 20 kV cable. Similar to the previous case report he had no recollection of the event and sustained significant burns.…”

Section: Discussionmentioning

confidence: 99%

Guillain-Barre syndrome-like illness in association with electrical shock injury

Anderson

O'Riordan

2013

BMJ Case Reports

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A 19-year-old man presented 4 weeks after an electrical shock injury with gradual onset limb weakness, altered sensation in the peripheries and respiratory difficulty. There was immediate tingling of the fingers following the electrical injury that persisted. He subsequently had transient facial weakness responsive to oral steroids before the development of further limb symptoms. On admission the clinical picture and investigation findings, including neurophysiology, cerebrospinal fluid examination and MRI were consistent with a Guillain-Barre syndrome. He was managed with a course of intravenous immunoglobulin and extensive physiotherapy and occupational therapy. He made an initial modest improvement but worsened again over the subsequent 4-6 weeks. Further investigation identified no ongoing active disease and he is left with a significant residual deficit.

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“…[1][2][3][4] Patients without inhalation injury are predictable as per mortality based on age and size of the burn injury (total body surface area), as well as length of stay and postoperative and rehabilitative complications. 2 However, electrical injury patients in our experience and that of others often are injured over a smaller total body surface area and have low mortality, yet have a significantly greater risk of complications during the initial hospitalization 5 and also after apparent recovery and discharge, 6,7 which are poorly appreciated and often difficult to treat.…”

Section: Introductionmentioning

confidence: 92%

Electrical Injuries in Canadian Burn Care: Identification of Unsolved Problems

Tredget

Shankowsky

Tilley

1999

Annals of the New York Academy of Sciences

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Over the past decade, the Firefighters' Burn Treatment Unit of the University of Alberta Hospital in Edmonton, Alberta, Canada, has treated 1399 inpatients suffering from thermal injury. Regional burn care is provided in a 10-bed intensive care unit with 18 plastic surgery reconstructive beds for a large referral region of central and northern Alberta, portions of the Northwest Territories, and neighboring provinces of British Columbia and Saskatchewan. Of the total burn inpatients during this period, 74 electrical injuries were treated (5.3% of all admissions): 71 were males (95.9%) and 3 females (4.1%). The mean age of all patients was 33.9 +/- 12.6 years (range 1-67). Compared to our general population of thermally injured patients, those with electrical injuries had smaller injuries [9.9 +/- 12.9% TBSA (range 1-65) versus 15.1 +/- 10.1], shorter length of hospitalization [18.6 +/- 7.3 days (range 1-80) versus 26.2 +/- 0.8], and substantially lower mortality once reaching the hospital (0% versus 4%). Electrical injuries were classified as flash in 30 cases, contact in 42 cases, and lightning in 2 cases; 74.3% of injuries occurred during work-related activities. A total of 118 operative procedures were performed during the acute admission (1.6 procedures per patient), including 19 amputations: 12 in the upper and 7 in the lower extremity. The mean time of amputation was 9.3 +/- 5.3 days after admission. In contact injuries of the upper extremity, 14 patients suffered amputations or neurologic injury that required reconstruction with free tissue transfers and nerve grafts. Long-term functional outcome of these patients using sensory testing, the Jebsen-Taylor hand function test, and wound coverage has revealed that these patients have substantial persistent sensory impairment of their upper extremities postinjury despite reconstruction, although many remain active and functional with acceptable wound coverage. Based on our analysis of electrical injury as it presents to one typical Canadian burn unit, our patients suffer limb loss on a delayed basis, which leads to substantial morbidity. Reconstruction of the upper extremity with microsurgical techniques after profound electrical injury has provided acceptable coverage, but in many instances is associated with poor or marginal sensory recovery limiting reemployment options for patients with upper extremity electrical burns. Further understanding of the cellular biology of delayed tissue loss after electric injury would offer the potential for reduction in amputation rate and improvement in functional outcome and overall morbidity.

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Neurological sequelae following a high voltage electrical burn

Cited by 44 publications

References 18 publications

Brachial Plexopathy Developing After High-Voltage Electrical Injury: Case Report

Brachial Plexopathy Developing After High-Voltage Electrical Injury: Case Report

Guillain-Barre syndrome-like illness in association with electrical shock injury

Electrical Injuries in Canadian Burn Care: Identification of Unsolved Problems

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