Lightning strike‑induced cauda equina syndrome: a case report.

Villámcsapás okozta cauda equina szindróma: esetismertetés.
cauda equina lightning strike nerve conduction study peripheral nerve injury somatosensory evoked potential

Journal

Ideggyogyaszati szemle
ISSN: 0019-1442
Titre abrégé: Ideggyogy Sz
Pays: Hungary
ID NLM: 17510500R

Informations de publication

Date de publication:
30 Mar 2024
Historique:
medline: 9 4 2024
pubmed: 9 4 2024
entrez: 9 4 2024
Statut: ppublish

Résumé

<p>Peripheral nerve injuries after being struck by lightning have been documented. Here, we report a case of cauda equina syndrome induced by lightning. A 27-year-old man presented with numbness, a burning sensation in the saddle region, and increased urinary urgency after being struck by lightning. He had absent Achilles reflexes and paresthesia in the saddle region upon neurological examination, and magnetic resonance imaging of the spine was normal. Electrophysiological studies indicated involvement of bilateral L5, S1, and S2 myotomes and revealed cauda equina lesions.&nbsp;<br>Peripheral nerve injury induced by lightning is rare, and the evaluation of people with neurological complaints using electromyography will help determine the true incidence.</p>. <p>A szakirodalomban tal&aacute;lhat&oacute; besz&aacute;mol&oacute; vill&aacute;mcsap&aacute;s ut&aacute;n kialakul&oacute; perif&eacute;ri&aacute;s idegs&eacute;r&uuml;l&eacute;sről. Esetismertet&eacute;s&uuml;nkben vill&aacute;mcsap&aacute;s &aacute;ltal kiv&aacute;ltott cauda equina szindr&oacute;m&aacute;r&oacute;l sz&aacute;molunk be. Egy 27 &eacute;ves f&eacute;rfi &bdquo;lovagl&oacute;nadr&aacute;g&rdquo; eloszl&aacute;s&uacute; zsibbad&aacute;ssal, &eacute;gő &eacute;rz&eacute;ssel &eacute;s fokozott vizel&eacute;si ingerrel jelentkezett, miut&aacute;n vill&aacute;mcsap&aacute;s &eacute;rte. A neurol&oacute;giai vizsg&aacute;lat sor&aacute;n hi&aacute;nyz&oacute; Achilles-reflexet &eacute;s &bdquo;lovagl&oacute;nadr&aacute;g&rdquo; eloszl&aacute;s&uacute; paraesthesi&aacute;t tal&aacute;ltunk, míg a gerinc m&aacute;gneses rezonanci&aacute;s k&eacute;palkot&aacute;sa norm&aacute;lis volt. Az elektrofiziol&oacute;giai vizsg&aacute;latok a k&eacute;toldali L5, S1 &eacute;s S2 myotom&aacute;k &eacute;rintetts&eacute;g&eacute;t jelezt&eacute;k, &eacute;s cauda equina laesi&oacute;kat mutattak ki.&nbsp;<br>A vill&aacute;mcsap&aacute;s okozta perif&eacute;ri&aacute;s idegs&eacute;r&uuml;l&eacute;s ritka; a neurol&oacute;giai panaszokkal k&uuml;zdő szem&eacute;lyek elektromiogr&aacute;fi&aacute;s ki&eacute;rt&eacute;kel&eacute;se segít a val&oacute;di előfordul&aacute;si gyakoris&aacute;g meghat&aacute;roz&aacute;s&aacute;ban.</p>.

Autres résumés

Type: Publisher (hun)
<p>A szakirodalomban tal&aacute;lhat&oacute; besz&aacute;mol&oacute; vill&aacute;mcsap&aacute;s ut&aacute;n kialakul&oacute; perif&eacute;ri&aacute;s idegs&eacute;r&uuml;l&eacute;sről. Esetismertet&eacute;s&uuml;nkben vill&aacute;mcsap&aacute;s &aacute;ltal kiv&aacute;ltott cauda equina szindr&oacute;m&aacute;r&oacute;l sz&aacute;molunk be. Egy 27 &eacute;ves f&eacute;rfi &bdquo;lovagl&oacute;nadr&aacute;g&rdquo; eloszl&aacute;s&uacute; zsibbad&aacute;ssal, &eacute;gő &eacute;rz&eacute;ssel &eacute;s fokozott vizel&eacute;si ingerrel jelentkezett, miut&aacute;n vill&aacute;mcsap&aacute;s &eacute;rte. A neurol&oacute;giai vizsg&aacute;lat sor&aacute;n hi&aacute;nyz&oacute; Achilles-reflexet &eacute;s &bdquo;lovagl&oacute;nadr&aacute;g&rdquo; eloszl&aacute;s&uacute; paraesthesi&aacute;t tal&aacute;ltunk, míg a gerinc m&aacute;gneses rezonanci&aacute;s k&eacute;palkot&aacute;sa norm&aacute;lis volt. Az elektrofiziol&oacute;giai vizsg&aacute;latok a k&eacute;toldali L5, S1 &eacute;s S2 myotom&aacute;k &eacute;rintetts&eacute;g&eacute;t jelezt&eacute;k, &eacute;s cauda equina laesi&oacute;kat mutattak ki.&nbsp;<br>A vill&aacute;mcsap&aacute;s okozta perif&eacute;ri&aacute;s idegs&eacute;r&uuml;l&eacute;s ritka; a neurol&oacute;giai panaszokkal k&uuml;zdő szem&eacute;lyek elektromiogr&aacute;fi&aacute;s ki&eacute;rt&eacute;kel&eacute;se segít a val&oacute;di előfordul&aacute;si gyakoris&aacute;g meghat&aacute;roz&aacute;s&aacute;ban.</p>.

Identifiants

pubmed: 38591923
doi: 10.18071/isz.77.0137
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

137-139

Auteurs

Akkan Suzan Aysegul (AS)

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

Ozenc Betul (O)

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

Sahin Gamze Ayse (SG)

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

Odabasi Zeki (O)

Department of Neurology, University of Health Sciences, Gulhane Medicine School, Ankara, Turkey.

Classifications MeSH