Subject(s)
Lightning Injuries , Brain , Child , Electric Injuries , Female , Humans , Lightning Injuries/diagnostic imaging , Lightning Injuries/pathology , MaleABSTRACT
Lightning strike victims are rarely presented at an emergency department. Burns are often the primary focus. This case report describes the improvised explosive device like-injury to the thorax due to lightning strike and its treatment, which has not been described prior in (kerauno)medicine. Penetrating injury due to blast from lightning strike is extremely rare. These "shrapnel" injuries should however be ruled out in all patients struck by lightning.
Subject(s)
Lightning Injuries/diagnosis , Thoracic Injuries/etiology , Wounds, Penetrating/etiology , Blast Injuries/diagnosis , Blast Injuries/diagnostic imaging , Blast Injuries/etiology , Blast Injuries/pathology , Child , Diseases in Twins/diagnosis , Diseases in Twins/etiology , Diseases in Twins/pathology , Emergency Service, Hospital , Glasgow Coma Scale , Humans , Lightning Injuries/diagnostic imaging , Lightning Injuries/pathology , Male , Thoracic Injuries/diagnosis , Thoracic Injuries/diagnostic imaging , Thoracic Injuries/pathology , Tomography, X-Ray Computed , Wounds, Penetrating/diagnosis , Wounds, Penetrating/diagnostic imaging , Wounds, Penetrating/pathologySubject(s)
Ear, Middle/injuries , Lightning Injuries , Mandibular Fractures/etiology , Tympanic Membrane Perforation/etiology , Adult , Ear, Middle/diagnostic imaging , Hearing Loss, Conductive/etiology , Humans , Lightning Injuries/complications , Lightning Injuries/diagnostic imaging , Male , Mandibular Fractures/diagnostic imaging , Music , RadiographyABSTRACT
Otologic injury associated with fatal and nonfatal lightning strikes has been sporadically reported in the literature. The most common acoustic insult is a conductive hearing loss secondary to rupture of the tympanic membrane. Although conjecture has been made of the theoretic possibility of ossicular injury from lightning strike, to our knowledge, none has been demonstrated intraoperatively or postmortem. We report the first documented case of ossicular disruption in a lightning-strike victim.
Subject(s)
Hearing Loss, Conductive/diagnostic imaging , Hearing Loss, Conductive/etiology , Lightning Injuries/complications , Lightning Injuries/diagnostic imaging , Tomography, X-Ray Computed , Adult , Ear, Middle/diagnostic imaging , Ear, Middle/injuries , Functional Laterality , Humans , Male , Temporal Bone/diagnostic imaging , Temporal Bone/injuries , Tympanic Membrane/injuriesABSTRACT
Lightning strike is a natural phenomenon with potentially devastating effects and represents one of the leading causes of cardiac arrest and death from environmental phenomena. Almost every organ system may be impaired as lightning passes through the human body taking the shortest pathways between the contact points. In this paper, the authors report a 38-year-old man who was injured by lightning, a typical example of ;;side splash,'' and had transient electrocardiographic changes.
Subject(s)
Heart Conduction System/injuries , Heart Injuries/etiology , Lightning Injuries/complications , Adult , Echocardiography , Electrocardiography , Follow-Up Studies , Heart Conduction System/physiopathology , Heart Injuries/diagnostic imaging , Heart Injuries/physiopathology , Humans , Lightning Injuries/diagnostic imaging , Lightning Injuries/physiopathology , Male , Remission, SpontaneousSubject(s)
Blast Injuries/surgery , Carpal Joints , Joint Dislocations/surgery , Lightning Injuries/surgery , Plastic Surgery Procedures , Surgical Flaps , Adult , Blast Injuries/diagnostic imaging , Blast Injuries/rehabilitation , Female , Fracture Fixation, Internal , Fractures, Bone/diagnostic imaging , Fractures, Bone/rehabilitation , Fractures, Bone/surgery , Hand Deformities, Acquired/etiology , Hand Deformities, Acquired/surgery , Hand Strength , Humans , Joint Dislocations/diagnostic imaging , Joint Dislocations/rehabilitation , Lightning Injuries/diagnostic imaging , Lightning Injuries/rehabilitation , Metacarpal Bones/injuries , RadiographyABSTRACT
We describe a case of bilateral basal ganglia hemorrhage after a lightning strike to the head documented by a CT scan. Review of the literature shows this to be the most common brain imaging finding that can be attributed to a lightning strike. Several mechanistic theories are discussed, with the most plausible one being related to preferential conduction pathways through the brain.
Subject(s)
Basal Ganglia Diseases/diagnostic imaging , Basal Ganglia/injuries , Brain Injuries/diagnostic imaging , Cerebral Hemorrhage/diagnostic imaging , Lightning Injuries/diagnostic imaging , Tomography, X-Ray Computed , Adult , Basal Ganglia/diagnostic imaging , Humans , MaleSubject(s)
Electric Injuries , Accidents, Occupational , Burns, Electric/etiology , Burns, Electric/pathology , Burns, Electric/physiopathology , Electric Injuries/pathology , Electric Injuries/physiopathology , Electricity , Humans , Lightning Injuries/diagnostic imaging , Lightning Injuries/physiopathology , RadiographyABSTRACT
The chest radiographs of two children struck by lightning showed right perihilar opacification. The radiographs were taken 2 h and 5 h after the event respectively. To our knowledge no similar cases have been reported.
