Case Report

Meningeal Hemorrhage Secondary to an Electrization Accident about an Observation in a Resuscitation Department in Abidjan (RCI)

Abstract

During electrical accidents, various mechanisms are observed: electric flash, electric arc, lightning and true electrification. Whatever the mechanism, various types of lesions can be observed such as subarachnoid hemorrhages. Exposure to a high voltage current, the appearance of initial consciousness disorder, the existence of skin burn lesions testifying to the passage of current through the cephalic end homolateral to the hemorrhage, the existence of hemorrhage meningeal at d0, the real existence of this complication in victims of lightning strikes (which is an electric shock) and the existence of a similar case in the literature make electric accidents, an etiology of hemorrhage meningeal.

[1] Jowdar S, Kismoune H, Boudjemia F, Bacha D. Electric burns - retrospective and analytical study on 588 cases over a decade 1984-1993. Ann Burns Fire Disasters. 1997; 10 (1): 20-7.
[2] Berthin-Maghit M., Bouchard C., Gueugniaud PY, Petit P. Neurological deficit during the resuscitation of the burn victim: about three cases evoking a centropontic myelinolysis. Burns, News from the SFETB. 1996: 78–82.
[3] Gueugniaud PY, Vaudelin G. Berlin - Maghit M, Small P. Accident d'électrisation. Conf. d'Actu. SFAR; 1997. p. 479–97.
[4] Chaibdraa A, Medjellakh MS, Saouli A, Bentakouk MC. Accident d’électrisation et hemorragie cérebro-méningée: A propos d’une observation. Ann Burns Fire Disasters. 2008; 21(3): 133–7.
[5] Bugeme M, Mukuku O. Manifestations neuropsychiatriques révélant une hémorragie cérébro-méningée causée par un accident d’électrisation: à propos d'une observation et revue de la littérature. Pan Afr Med J. 2014; 18: 201.
[6] Remensnyder J.P. Acute electrical injuries. In: Martyn J.A.J., editor. Acute management of the burned patient. Philadelphia: W.B. Saunders; 1990. p. 66–86.
[7] Mradmi W, Fassi-Fihri J, Mehaji G, Ezzoubi Mr, Diouri Mr, Bahechar N, et al. Brûlure par foudre: A propos d'une observation. Ann Burns and Fire Disasters. 2005; 18(3):127–29.
[8] Chuang SS, Yu CC. Delayed obturation artery rupture: A complication of high-voltage electrical injury. Burns. 2003; 29(4):395-398.
[9] Chaibdraa A, Medjellekh MS, Bentakouk MC. Electrisation – Electrocution. Ann Burns Fire Disasters. 2009; 22(1):22–32.
[10] Cherington M. Neurologic manifestations of lightning strikes. Neurology. 2003; 60(2):182–5.
[11] Cherington M. Central nervous system complications of lighting and electrical injuries. Sem Neurol. 1995; 15(3):233–240.
[12] Bozkurt M, Deveci M, Sengezer M. Permanent paraplegia in an electrical burn patient following spinal anaesthesia (case report and review) Ann. Burns and Fire Disasters. 2001; 14:94-5.
Files
IssueVol 6 No 2 (2020): Spring QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/aacc.v6i2.2769
Keywords
Electrification Haemorrhage Meningeal Resuscitation

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How to Cite
1.
Mobio NMP, Chacke Maria A, Theodore Klinna C, Abdoulaye O, Djohui Edwige N, Yapi Francis N, Yavo Denis T. Meningeal Hemorrhage Secondary to an Electrization Accident about an Observation in a Resuscitation Department in Abidjan (RCI). Arch Anesth & Crit Care. 2020;6(2):105-108.