Detection of Peripheral Nerve Injury in Electrical Shock Patients

Mankani, Mahesh H.; Abramov, G.S.; Boddie, Allyn; Lee, Raphael C.

doi:10.1111/j.1749-6632.1994.tb30448.x

Cited by 14 publications

(4 citation statements)

References 14 publications

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“…Our case was exclusive in that the brachial plexus involvement was caused by lightning injury and there was pan-brachial involvement. Although, the literature mentions that peripheral nerve damage caused by lightning injury has poor outcome,[ 6 7 ] our patient had complete recovery within a short span of days. Patient presented with complete loss of sensation and paralysis and the electrophysiological tests were confirmatory of pan-brachial neuropraxia.…”

Section: Discussionmentioning

confidence: 72%

Pan-brachial plexus neuropraxia following lightning: A rare case report

2015

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Background:Neurological complications following lightning are rare and occur in form of temporary neurological deficits of central origin. Involvement of peripheral nervous system is extremely rare and only a few cases have been described in the literature. Isolated unilateral pan-brachial plexus neuropraxia has never been reported in the literature. Steroids have long been used for treatment of neuropraxia. However, their use in lightning neural injury is unique and requires special mention.Case Description:We report a rare case of lightning-induced unilateral complete flaccid paralysis along with sensory loss in a young patient. Lightning typically causes central nervous involvement in various types of motor and sensory deficit. Surprisingly, the nerve conduction study showed the involvement of peripheral nervous system involvement. Steroids were administered and there was significant improvement in neurological functions within a short span of days. Patients’ functions in the affected limb were normal in one month.Conclusion:Our case was interesting since it is the first such case in the literature where lightning has caused such a rare instance of unilateral pan-brachial plexus lesion. Such cases when seen, raises the possibility of more common central nervous system pathology rather than peripheral involvement. However, such lesions can be purely benign forms of peripheral nerve neuropraxia, which can be managed by steroid treatment without leaving any long-term neurological deficits.

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Section: Discussionmentioning

confidence: 72%

Pan-brachial plexus neuropraxia following lightning: A rare case report

2015

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“…We have previously demonstrated altered perceptual abilities following electrical accidents [ 16 ], and others have demonstrated altered nerve conduction; for example, in the median nerve [ 30 ]. However, few studies have tried to systematically investigate nerve damage as a long-term consequence of an electrical accident.…”

Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of Nerve Function in Electrical Accident Survivors with Persisting Neurosensory Symptoms

et al. 2022

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Objective: Work related electrical accidents are prevalent and can cause persisting symptoms. We used clinical neurophysiological techniques to assess neurosensory function following electrical accidents and correlated test results with the patients’ symptoms. Methods: We studied 24 patients who reported persisting neurosensory symptoms following a workplace electrical accident. We assessed nerve function using quantitative sensory testing (QST), thermal roller testing, laser evoked potential (LEP), and electroneurography. The patients’ results were compared with previously established normative data. Results: Altogether, 67% of the patients showed at least one neurosensory impairment with a large heterogeneity in test results across patients. At a group level, we observed significant deviations in in QST, LEP, and sensory and motor neurography. Overall, we found a weak correlation between test results and self-reported symptoms. Conclusions: In a majority of patients with neurosensory symptoms after a workplace electrical accident, neurosensory testing confirmed the existence of an underlying impairment of the nervous system.

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“…Swelling around large peripheral nerves is common following electrical injury. 8 A lack of motor strength, the presence of tingling, or the lack of sensation can be noted on physical exam. When nerves pass through tight compartments such as the carpal tunnel or cubital tunnel, release of the fascia surrounding the nerves can reduce future neuropathy.…”

Section: Wound Evaluationmentioning

confidence: 99%

Functional Reconstruction following Electrical Injury

Orgill

Pribaz

1999

Annals of the New York Academy of Sciences

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Worldwide, high voltage electrical injury continues to cause significant morbidity, disability, and mortality despite improvements in electrical safety. Joule heating and cell membrane disruption are two mechanisms important in understanding the pathophysiology of electrical injury. The degree of tissue damage is often more extensive than initially perceived on clinical exam. Using modern reconstructive techniques, the functional outcome of electrical injury victims can be improved. The type of reconstruction selected for each injury can be selected from a number of options from the reconstructive ladder. Donor site considerations, risks of the surgery, team experience, and patient preference are important factors in this selection.

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Detection of Peripheral Nerve Injury in Electrical Shock Patients

Cited by 14 publications

References 14 publications

Pan-brachial plexus neuropraxia following lightning: A rare case report

Pan-brachial plexus neuropraxia following lightning: A rare case report

Clinical Evaluation of Nerve Function in Electrical Accident Survivors with Persisting Neurosensory Symptoms

Functional Reconstruction following Electrical Injury

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