Onset of symptomatic hydrocephalus requiring emergency cerebrospinal fluid diversion following high-voltage electrical burn injury Case report

被引:4
作者
Ackerman, Laurie L. [1 ]
Ryken, Timothy C. [2 ]
Kealey, G. Patrick [3 ]
Traynelis, Vincent C. [2 ]
机构
[1] Indiana Univ, Sch Med, Riley Hosp Children, Dept Neurol Surg, Indianapolis, IN 46202 USA
[2] Univ Iowa Hosp & Clin, Dept Neurol Surg, Iowa City, IA 52242 USA
[3] Univ Iowa Hosp & Clin, Dept Surg, Div Trauma Burns Surg Crit Care & Emergency Gen S, Iowa City, IA 52242 USA
关键词
hydrocephalus; high-voltage electrical injury; burn injury; calvarial burn; BRAIN-BARRIER DYSFUNCTION; HEMATOMA SECONDARY; VENOUS THROMBOSIS; EXPRESSION; SHOCK; RAT;
D O I
10.3171/2009.7.JNS09578
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
High-voltage electrical injuries have been reported to cause a plethora of neurological complications including cognitive, motor, and sensory deficits in an immediate or delayed fashion. In this setting, new-onset symptomatic hydrocephalus requiring CSF shunt placement has not been described. The authors present the case of an 18-year-old man who sustained a high-voltage electrical injury with a calvarial contact point that required emergency CSF diversion within hours of injury and subsequently required placement of a lumboperitoneal shunt. Management of the open calvarial Wound, which required rotational flap reconstruction, and the need for ongoing CSF diversion required care and a team approach. (DOI: 10.3171/2009.7.JNS09578)
引用
收藏
页码:394 / 398
页数:5
相关论文
共 24 条
[1]   Alteration in sensory nerve function following electrical shock [J].
Abramov, GS ;
Bier, M ;
CapelliSchellpfeffer, M ;
Lee, RC .
BURNS, 1996, 22 (08) :602-606
[2]  
Barrash J, 1996, Appl Neuropsychol, V3, P75, DOI 10.1207/s15324826an0302_5
[3]   Peripheral thermal injury causes early blood-brain barrier dysfunction and matrix metalloproteinase expression in rat [J].
Berger, Jamie ;
Sprague, Shane M. ;
Wu, Yimin ;
Davis, William W. ;
Jimenez, David F. ;
Barone, Constance M. ;
Ding, Yuchuan .
NEUROLOGICAL RESEARCH, 2007, 29 (06) :610-614
[4]   Right thalamic hemorrhage resulting from high-voltage electrical injury:: a case report [J].
Çaksen, H ;
Yuca, SA ;
Demirtas, I ;
Odabas, D ;
Cesur, Y ;
Demirok, A .
BRAIN & DEVELOPMENT, 2004, 26 (02) :134-136
[5]   Factors influencing the sequelae of high tension electrical injuries [J].
Ferreiro, I ;
Meléndez, J ;
Regalado, J ;
Béjar, FJ ;
Gabilondo, FJ .
BURNS, 1998, 24 (07) :649-653
[6]   NEUROLOGIC CONSEQUENCES OF ELECTRICAL BURNS [J].
GRUBE, BJ ;
HEIMBACH, DM ;
ENGRAV, LH ;
COPASS, MK .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1990, 30 (03) :254-258
[7]  
Heidrich R, 1975, Neuropatol Pol, V13, P359
[8]  
HEIDRICH R, 1976, SCHWEIZ ARCH NEUROL, V119, P325
[9]  
Janus Todd J., 1996, Journal of Burn Care and Rehabilitation, V17, P409, DOI 10.1097/00004630-199609000-00007
[10]  
Johansen C, 1998, AM J EPIDEMIOL, V148, P362