Acute Stroke due to Electrocution: Uncommon or Unrecognized?

The growing dependence on electricity in our daily lives has increased the incidence of electrocution injuries. Although several neurological injuries have been described previously, acute stroke due to electrocution is rare. Our patient, a previously healthy man, was electrocuted after he grabbed a...

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Main Authors: Laxmi Kokatnur, Mohan Rudrappa
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/9510863
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author Laxmi Kokatnur
Mohan Rudrappa
author_facet Laxmi Kokatnur
Mohan Rudrappa
author_sort Laxmi Kokatnur
collection DOAJ
description The growing dependence on electricity in our daily lives has increased the incidence of electrocution injuries. Although several neurological injuries have been described previously, acute stroke due to electrocution is rare. Our patient, a previously healthy man, was electrocuted after he grabbed a “live” high-voltage wire. Although he was hemodynamically stable, he remained confused with language defects. MRI of the brain showed acute stroke in the bilateral anterior cerebral artery territory and watershed regions of the left middle cerebral artery territory. MR angiogram incidentally showed A1 segment aplasia of the right anterior cerebral artery. Electrocution is known to cause vasospasm leading to end-organ damage similar to that seen in stroke. In our patient, vasospasm of the left anterior circulation likely led to watershed infarcts in the left parietal lobe and bilateral frontal lobes. Due to aplasia of the A1 segment on the right side, perfusion to both frontal lobes was solely from the left anterior cerebral artery.
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spelling doaj-art-901dd9fdfbfe4690b8407dbf95423bda2025-02-03T05:51:43ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/95108639510863Acute Stroke due to Electrocution: Uncommon or Unrecognized?Laxmi Kokatnur0Mohan Rudrappa1Louisiana State University Health Sciences Center Shreveport, 1501 Kings Hwy, Shreveport, LA 71104, USALouisiana State University Health Sciences Center Shreveport, 1501 Kings Hwy, Shreveport, LA 71104, USAThe growing dependence on electricity in our daily lives has increased the incidence of electrocution injuries. Although several neurological injuries have been described previously, acute stroke due to electrocution is rare. Our patient, a previously healthy man, was electrocuted after he grabbed a “live” high-voltage wire. Although he was hemodynamically stable, he remained confused with language defects. MRI of the brain showed acute stroke in the bilateral anterior cerebral artery territory and watershed regions of the left middle cerebral artery territory. MR angiogram incidentally showed A1 segment aplasia of the right anterior cerebral artery. Electrocution is known to cause vasospasm leading to end-organ damage similar to that seen in stroke. In our patient, vasospasm of the left anterior circulation likely led to watershed infarcts in the left parietal lobe and bilateral frontal lobes. Due to aplasia of the A1 segment on the right side, perfusion to both frontal lobes was solely from the left anterior cerebral artery.http://dx.doi.org/10.1155/2016/9510863
spellingShingle Laxmi Kokatnur
Mohan Rudrappa
Acute Stroke due to Electrocution: Uncommon or Unrecognized?
Case Reports in Neurological Medicine
title Acute Stroke due to Electrocution: Uncommon or Unrecognized?
title_full Acute Stroke due to Electrocution: Uncommon or Unrecognized?
title_fullStr Acute Stroke due to Electrocution: Uncommon or Unrecognized?
title_full_unstemmed Acute Stroke due to Electrocution: Uncommon or Unrecognized?
title_short Acute Stroke due to Electrocution: Uncommon or Unrecognized?
title_sort acute stroke due to electrocution uncommon or unrecognized
url http://dx.doi.org/10.1155/2016/9510863
work_keys_str_mv AT laxmikokatnur acutestrokeduetoelectrocutionuncommonorunrecognized
AT mohanrudrappa acutestrokeduetoelectrocutionuncommonorunrecognized