Cases reported "Electric Injuries"

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1/17. Alteration in gastrointestinal and neurological function after electrical injury: a review of four cases.

    OBJECTIVE: Individuals exposed to an electrical injury develop a variety of complications, several of which are recognized years after the initial electrical shock. Alteration in gastrointestinal and nervous system function has been described in these patients, yet the frequency and character of these abnormalities are poorly understood. We reviewed records of 40 individuals with a history of electrical injury to identify evidence of delayed onset of complications. methods: Forty consecutive patients with electrical shock injuries were monitored for up to 5 yr after their traumatic event using a comprehensive systems review. Of the eight patients who described an alteration in their gastrointestinal and neurological functions, four agreed to undergo further testing. Investigations included a flexible sigmoidoscopy, anorectal manometry, stool evaluation, serological and biochemical serum analysis, and a psychological examination. RESULTS: Each of the four patients described an increase in stool frequency and urgency. Anorectal manometry detected a reduction in threshold to rectal balloon distention and an abnormal anal sphincter control. Bowel function improved with meselamine. Psychiatric symptoms involving memory and concentration were observed in varying degrees. CONCLUSIONS: To our knowledge, these induced physiological and psychological changes after exposure to electrical shock injury have not yet previously been described. Our findings should encourage further clinical investigations to better anticipate, diagnose, and manage these and other as yet unrecognized delayed complications of electrical shock injury.
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ranking = 1
keywords = nervous system
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2/17. High voltage electrical injury leading to a delayed onset tetraplegia, with recovery.

    High voltage electrical injury can cause considerable damage to the central nervous system. Delayed spinal cord injury is uncommon, usually incomplete, and comprises predominantly motor fallout. The injury can be progressive, with only a few patients showing partial improvement. We present a case report of a 20-year-old male who had a delayed onset spinal cord injury after a high voltage electrical injury. The symptoms started several days postburn with an ascending paralysis, leading to tetraplegia. Gradual recovery became evident at 3 months after the accident, starting with his arms and later showing partial recovery of his lower limbs. The mechanisms of injury and pathophysiology to the spinal cord are poorly understood. Possible explanations for the delayed onset of neurologic complications are given. The exact reasons for the delayed, ascending paralysis and the mechanism of recovery still need further investigation.
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ranking = 1
keywords = nervous system
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3/17. rupture of an intracranial aneurysm--unusual complication of an electric shock.

    Here we report about a 35-year-old electrical engineer who was found dead in his study. Postmortem examination revealed that death resulted because of subarachnoid and intraventricular hemorrhage caused by the rupture of an intracranial aneurysm. Right hand and left cheek revealed electrical marks with metallizations on skin, an electric shock was diagnosed to have preceded death. The close temporal correlation suggests that a sudden rise in blood pressure was caused by the electric current and was thus responsible for the rupture of the aneurysm.
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ranking = 14.330717580822
keywords = metal
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4/17. Accidental electrocution during autoeroticism: a shocking case.

    A case of atypical autoerotic death is described. An 18-year-old white man clad in two brassieres was found dead in his bedroom by his brother. Two wet green terry cloths were under the brassiere cups, connected to the house current via two metal washers and a bifid electrical cord. literature depicting nude women was found near the victim. autopsy revealed second-degree and third-degree burns of the mammary regions. death was attributed to accidental self-electrocution. The authors will discuss typical and atypical forms of autoerotic death.
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ranking = 14.330717580822
keywords = metal
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5/17. A fatal search for worms--a peculiar electrical accident.

    A 32-year-old man used a self-made electrical instrument to collect earthworms for fishing. It consisted of a metal stick with a plastic handle. The stick was connected to a 10 m long wire which ended in a single-phase plug. After watering the lawn and connecting the plug to one phase of a socket (AC 220 V), he touched both the handle and the metal stick, presumably while trying to push it deeper into the soil. Through this procedure he closed the electrical circuit from his left hand to his bare feet standing on the wet lawn and was killed instantly. The autopsy revealed burn marks only on the left palm. Petechiae were found in the facial skin and the mucous membranes. The inner organs showed intensive signs of blood congestion. Toxicological analysis of blood, urine, gastric contents, liver and bile was negative. The calculated current of about 111 mA flowing through the body exceeded the range of 80-100 mA generally considered to be lethal.
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ranking = 28.661435161643
keywords = metal
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6/17. The application of a variable-pressure scanning electron microscope with energy dispersive X-ray microanalyser to the diagnosis of electrocution: a case report.

    We describe here a case of accidental electrocution. A 48-year-old male was found dead in his room. At autopsy, there was a current mark on the right thumb and big toe. Histological examination revealed that the skin wound had the characteristics of a current mark, including vacuolation and elongation of the cell nuclei. We could also identify titanium metallization on the skin surface of the current mark using a variable-pressure scanning electron microscope (VP-SEM) equipped with energy dispersive X-ray microanalyser (EDX). The autopsy finding and the subsequent investigation support the conclusion that the cause of his death was electrocution. Our result shows that the VP-SEM with EDX is a useful tool for the forensic diagnosis of electrocution.
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ranking = 14.330717580822
keywords = metal
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7/17. An electrocution by metal kite line.

    A case is reported in which death is caused due to electrocution by a copper wire that was used as string of the kite. Electric current flowed through the copper wire of cut down kite when it touched power line transmitting alternate current of 240 V at 50 Hz. The free end of copper wire had abraded against the victim's shoulder, neck and face, and finally entangled around the ear. A unique type of electrical injury is noticed due to contact with live copper wire. This paper stresses the unique danger of the kite flying.
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ranking = 57.322870323286
keywords = metal
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8/17. Destruction of hearing aid by lightning strike.

    A 20-year-old woman was struck by lightning while seeking shelter under a tree. The discharge entered at the site of the victim's behind-the-ear type hearing aid, destroying it. She suffered cardiorespiratory arrest, burns, left ventricular failure, and myoglobinuria, yet recovered fully. It is widely known that carrying a metallic object such as an umbrella or golf club above one's head increases the risk of being struck. However, few people know that small metallic objects worn on the head are similarly dangerous. persons caught outside in a lightning storm might decrease the probability of being struck by removing all metallic objects from their head.
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ranking = 42.992152742465
keywords = metal
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9/17. Peripheral nerve injury and Raynaud's syndrome following electric shock.

    A truck driver was injured by a high-voltage line of 10,000 volts when holding a metallic bar in both hands. Initially no neurological abnormalities were found, but during the following few weeks increasing sensory and minor motor symptoms developed in the right upper extremity. After one year numbness of the right thigh and leg appeared, as well as attacks of white finger in both hands. Repeated examinations showed progressive abnormalities of the median and ulnar nerves in both hands. No other cause for Raynaud's syndrome was discovered. The late high-voltage effects, presumably indirect, are suggested to be of multifactorial etiology.
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ranking = 14.330717580822
keywords = metal
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10/17. Electrical injury to the central nervous system.

    A case of delayed spinal cord damage due to high voltage electric shock is presented. The literature on the subject is reviewed and discussed.
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ranking = 4
keywords = nervous system
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