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Immediate and progressive neurological damage after electrical injury: A pediatric case report

Published:September 17, 2022DOI:https://doi.org/10.1016/j.braindev.2022.08.007

      Abstract

      Background

      An electrical injury can cause multiple consequences, especially to the nervous system, both peripheral and central. Such consequences may present immediately as well as later on.

      Aims of the study

      To report on a case of a 5-year-old boy with focal refractory status epilepticus after an electrical injury.

      Methods

      Clinical history, electroencephalography, neuroimaging, and laboratory data of a patient admitted to our emergency department.

      Results

      A 5-year-old male received an electrical shock by contact with an alternating current source after coming out of the pool. When reaching our emergency department, focal seizures was observed in the same site affected by the electrical insult, with progressive structural changes in the related brain area. In the days after, his neurological conditions dramatically evolved leading to brain death.

      Conclusions

      Based on our knowledge, this is the first report on refractory status epilepticus in a child after electrical injury. The possible underlying pathogenetic mechanisms are not yet clear.

      Keywords

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      References

        • Andrews C.J.
        • Reisner A.D.
        Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation.
        Neural Regen Res. 2017; 12: 677-686
        • Duff K.
        • McCaffrey R.J.
        Electrical injury and lightning injury: a review of their mechanisms and neuropsychological, psychiatric, and neurological sequelae.
        Neuropsychol Rev. 2001; 11: 101-116
        • Bryan B.C.
        • Andrews C.J.
        • Hurley R.A.
        • Taber K.H.
        Electrical injury, part I: Mechanisms.
        J Neuropsychiatry Clin Neurosci. 2009; 21: 241-244
        • Fujikawa D.G.
        Starting ketamine for neuroprotection earlier than its current use as an anesthetic/antiepileptic drug late in refractory status epilepticus.
        Epilepsia. 2019; 60: 373-380
        • Reisner A.D.
        Possible mechanisms for delayed neurological damage in lightning and electrical injury.
        Brain Inj. 2013; 27: 565-569
        • Huan-Jui Y.
        • Chih-Yang L.
        • Huei-Yu L.
        • Po-Chih C.
        Acute ischemic stroke in low-voltage electrical injury: a case report.
        Surg Neurol Int. 2010; 1: 83
        • Niquet J.
        • Liu H.
        • Wasterlain C.G.
        Programmed neuronal necrosis and status epilepticus.
        Epilepsia. 2005; 46: 43-48
        • Cherington M.
        • Cherington M.
        Spectrum of neurologic complications of lightning injuries.
        NeuroRehabilitation. 2005; 20: 3-8