Electrification accidents is a serious pathology due to the passage of an electric current through the body. The clinical manifestation is mainly represented by skin lesions with burners of different degrees however all the tissues of the body can be affected. The cerebral manifestation is a rare entity described in the literature. In this paper, we report the case of a patient with an electrocution accident manifested by an extradural hematoma who has not encountered a similar case described in the literature. We therefore present this case which poses a poorly understood pathophysiological problem.
Background: Mild head trauma (MHT) is defined as loss of consciousness of less than 30 minutes, GCS> 13, post-traumatic amnesia duration of less than 24 hours. The aim of our study is to analyze all the neurological and psychological consequences of MHT
Methods: We carried out a prospective study on 40 cases of mild head trauma in the neurosurgical diagnostic center of Ibn Rochd Hospital Casablanca over a period of 4 months.
Results: The average age was 30 years, with 70% male predominance. At the time of the accident, more than 50% were in professional activity. Road accidents represent 78% of the causes. Hemorrhagic contusion was found in 35% of cases, epidural hematoma in 27%, and only 20% without any radiological abnormalities. The neuropsychiatric sequelae most frequently found are irritability in 92%, followed by headache and restlessness in 90% of cases, rapid mood changes in 87.5%, rapid fatigue, intolerance to noise and light, dizziness as well as memory disorders and sleep disorders are frequent. Patients with hemorrhagic contusions have heavier sequelae, a close relationship was observed between the sequelae of MHT and the disappearance of friendly relations in more than 50% of our patients, as well as the job loss. In 45% of patients, with a marked decline in leisure activities and sports practice.
Conclusion: MHT is a frequent pathology, with a good evolution but sometimes heavy and underestimated neuropsychiatric sequelae. The legal implications are important and lack specificity and the cost is enormous.
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