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Related Experiment Videos

Neurological sequelae following a high voltage electrical burn

B Ratnayake1, E R Emmanuel, C C Walker

  • 1St Andrews Centre for Plastic Surgery, St Andrew's Hospital, Billericay, Essex, UK.

Burns : Journal of the International Society for Burn Injuries
|November 1, 1996
PubMed
Summary

Electrical injuries can cause delayed neurological issues. This case presents a perplexing lower motor neurone syndrome in all limbs after electrical trauma, with no spinal cord damage found on MRI.

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Area of Science:

  • Neurology
  • Neuron science
  • Trauma research

Background:

  • Electrical injuries can lead to diverse neurological complications, manifesting early or late.
  • Delayed peripheral neuropathy is a known, albeit uncommon, complication.
  • Transient spinal cord symptoms have been reported previously.

Observation:

  • A patient developed a lower motor neurone syndrome affecting all four limbs after a significant electrical injury.
  • Magnetic resonance imaging (MRI) showed no evidence of spinal cord necrosis, despite the injury's severity.
  • Standard neurophysiological studies failed to localize the neurological deficit.

Findings:

  • The case highlights a perplexing presentation of a lower motor neurone syndrome following electrical injury.

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  • The absence of spinal cord necrosis on MRI challenges typical injury expectations.
  • Diagnostic challenges arose due to the inability to localize the issue via neurophysiology.

    • Implications:

    • This case expands the understanding of potential neurological sequelae from electrical injuries.
    • It underscores the need for considering atypical presentations of neurological damage.
    • Further research into the mechanisms of such delayed, localized neurological deficits is warranted.