Studija slučaja
https://doi.org/10.66166/cjaim.2.1.5
From burn to paralysis: delayed spinal cord injury in high-voltage electrical burns
Goran Sabo
*
Agata Skunca
; Department of Anesthesiology and ICU, Sisters of Charity Hospital, Zagreb, Croatia
Morana Banić
; Department of Anesthesiology and ICU, Sisters of Charity Hospital, Zagreb, Croatia
Tihana Magdić Turković
; Department of Anesthesiology and ICU, Sisters of Charity Hospital, Zagreb, Croatia
Marinko Vučić
; Department of Anesthesiology and ICU, Sisters of Charity Hospital, Zagreb, Croatia
* Dopisni autor.
Sažetak
Electrical burn injuries, though uncommon, can cause severe neurological complications, with sequelae observed in up to 67% of high-voltage cases. This report presents two cases of spinal cord injuries following high-voltage electrical burns in male patients aged 29 and 53. The first patient, a 29-year-old male, sustained 9% total body surface area (TBSA) burns. His initial neurological assessment was unremarkable, but post-injury he developed quadriplegia with preserved sensation. Imaging was inconclusive, and he required prolonged intensive care unit care, showing only modest neurological improvement over time. The second patient, a 53-year-old male, suffered 25% TBSA burns, initially presenting unconscious and requiring resuscitation. He developed delayed paraplegia, with electromyoneurography confirming severe bilateral lumbosacral plexus injury despite normal spinal imaging. Both patients underwent supportive treatment, surgical interventions, and rehabilitation, showing varying degrees of motor recovery. Neurological sequelae in electrical injuries may result from direct electrical damage, vascular injury, or ischemic changes. Despite no clear spinal abnormalities on imaging, significant neurological deficits were present. No specific treatment exists, and corticosteroid use remains controversial. These cases underscore the need for early neurological evaluation, awareness of long-term consequences, and further research to develop standardized treatment protocols.
Ključne riječi
electrical injury; spinal cord injury; quadriplegia; paraplegia; neurologic deficit
Hrčak ID:
348897
URI
Datum izdavanja:
6.7.2026.
Posjeta: 0 *