Résumé
We report a case of a 16-year-old girl, who was struck by lightning, and experienced blurred vision in the right eye (RE) immediately following the episode. She reported for ophthalmic evaluation two months later. Examination revealed relative afferent pupillary defect in the RE. Posterior subcapsular cataract was noted in both eyes. Fundus examination revealed macular holes and multiple areas of RPE hyperpigmentation in the periphery in both eyes. Fundus fluorescein angiography showed increased choroidal transmission with early fluorescence and late fading in the foveal region and retinal pigment epithelium (RPE) stippling in the periphery in both eyes. This is the first case report of such nature in India to the best of our knowledge.
Sujets)
Adolescent , Brûlures oculaires/complications , Brûlures oculaires/diagnostic , Femelle , Angiographie fluorescéinique , Études de suivi , Fossette centrale/traumatismes , Fossette centrale/anatomopathologie , Fond de l'oeil , Humains , Traumatismes dus à la foudre/complications , Perforations de la rétine/diagnostic , Perforations de la rétine/étiologie , Épithélium pigmentaire de la rétine/traumatismes , Épithélium pigmentaire de la rétine/anatomopathologieRésumé
BACKGROUND: Cases of patients who developed cluster headache-like symptoms after different putative causes have been reported, indicating a direct relationship between brain lesion and this particular type of headache. Long term, delayed, neurological sequelae after lightning have also been described. CASE REPORT: We describe the case of a woman who, at the age of 10, was struck by lightning. Six years later she developed cluster headache-like attacks. CONCLUSION: We hypothesize that a relationship between the lightning and the cluster headache-like episodes observed in our patient. This case study may have helped throw some light into the still unknown pathophysiology of this particular type of primary headache.
INTRODUÇÃO: Foram descritos casos de pacientes que desenvolveram cefaléia em salvas como manifestação secundária à diferentes causas, indicando uma relação direta entre uma lesão cerebral e este tipo particular de cefaléia. Seqüelas neurológicas tardias após injúria elétrica por raio também têm sido descritas. RELATO DO CASO: Nós descrevemos o caso de uma mulher que aos 10 anos de idade foi atingida por um raio. Seis anos mais tarde desenvolveu sintomatologia de cefaléia em salvas. CONCLUSÃO: Acreditamos que pode haver relação entre a injúria elétrica causada pelo raio e o aparecimento dos episódios semelhantes à cefaléia em salvas observados na nossa paciente. A provável fisiopatologia envolvida na gênese da cefaléia em salvas de origem secundária é discutida, particularmente em relação ao intervalo latente entre a injúria precipitante inicial e a fase álgica da cefaléia.
Sujets)
Adolescent , Enfant , Femelle , Humains , Algie vasculaire de la face/étiologie , Traumatismes dus à la foudre/complications , Algie vasculaire de la face/physiopathologie , Traumatismes dus à la foudre/physiopathologieRésumé
We describe a case of late ocular changes after lightning injury. One year after the injury, complete ankyloblepharon, severe dry eye, corneal opacity, healed iritis and mature cataracts were noted in both eyes of the patient.
Sujets)
Adulte , Cataracte/étiologie , Maladies de la conjonctive/étiologie , Opacité cornéenne/étiologie , Syndromes de l'oeil sec/étiologie , Oeil/effets des radiations , Lésions traumatiques de l'oeil/étiologie , Maladies de la paupière/étiologie , Humains , Iritis/étiologie , Traumatismes dus à la foudre/complications , Mâle , Facteurs temps , Acuité visuelleRésumé
Intra-cerebral haemorrhage due to lightning stroke is extremely rare. We report a 45 year old woman who developed intracranial haemorrhage due to a direct lightning stroke. This was proved by CT scan. The haematoma was evacuated surgically, resulting in full neurological recovery of the patient.