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Spinal Cord Injury ll: Pathophysiology01:14

Spinal Cord Injury ll: Pathophysiology

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Patient with recurrent neuralgic amyotrophy; right brachial plexitis and left posterior interosseous neuropathy.

Ideggyogyaszati szemle·2023
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Lightning strike‑induced cauda equina syndrome: a case report.

Aysegul Akkan Suzan1, Betul Ozenc1, Ayse Sahin Gamze1

  • 1Department of Neurology, Gulhane Training and Research Hospital, Ankara, Turkey.

Ideggyogyaszati Szemle
|April 9, 2024
PubMed
Summary

Lightning strikes can cause rare cauda equina syndrome, a serious spinal cord injury. Electromyography is crucial for diagnosing these peripheral nerve injuries and understanding their incidence.

Keywords:
cauda equinalightning strikenerve conduction studyperipheral nerve injurysomatosensory evoked potential

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Area of Science:

  • Neurology
  • Neurosurgery
  • Electromyography

Background:

  • Peripheral nerve injuries from lightning strikes are infrequently documented.
  • Cauda equina syndrome is a rare but severe neurological condition affecting the lower spinal cord.

Observation:

  • A 27-year-old male experienced neurological deficits, including saddle region numbness and urinary urgency, after a lightning strike.
  • Clinical examination revealed absent Achilles reflexes and paresthesia, while spinal MRI was unremarkable.

Findings:

  • Electrophysiological studies confirmed cauda equina lesions involving bilateral L5, S1, and S2 myotomes.
  • This case highlights a unique presentation of lightning-induced peripheral nerve injury.

Implications:

  • Lightning-induced cauda equina syndrome is a rare neurological complication.
  • Electromyography is essential for diagnosing peripheral nerve injuries in patients with neurological complaints after lightning exposure.
  • Further studies are needed to establish the true incidence of such injuries.