Neurologic sequelae of minor electric burns

  • Daniel Bruce Rosenberg
    Reprint requests to Dr. Rosenberg, Dutchess Physiatric Associates, P. C., c/o St. Francis Hospital, North Road, Poughkeepsie, NY 12601.
    Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia, USA
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      Although neurologic pathology is a well-documented sequela of major electric burns, there are few reports of complications arising from less extensive electrically induced trauma. Two cases of patients with significant disease subsequent to minor electric burns are presented. In one patient with a 2% superficial partial-thickness burn of the right forearm, nerve conduction studies, electromyography, and somatosensory evoked potential studies were consistent with right median mononeuropathy at the wrist and a distal slowing of the right ulnar nerve. The second patient presented with persistent numbness, hyperpathia, and burning in his left hand after an electric shock in a telephone booth. He had a creatine phosphokinase of 2000mμ/mL but no surface burn. A left stellate ganglion block provided complete resolution of his symptoms and established a diagnosis of minor reflex sympathetic dystrophy.


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        • Baxter CR
        Present concepts in the management of major electrical injury.
        Surg Clin North Am. 1970; 50: 1401-1408
        • Butler ED
        • Gant TD
        Electrical injuries, with special reference to the upper extremities: a review of 182 cases.
        Am J Surg. 1977; 134: 95-101
        • Fissette J
        • Onkelinx A
        • Fandi N
        Carpal and Guyon tunnel syndrome in burns at the wrist.
        J Hand Surg [Am]. 1981; 6: 13-15
        • Helm PA
        • Pandian G
        • Heck E
        Neuromuscular problems in the burn patient: cause and prevention.
        Arch Phys Med Rehabit. 1985; 66: 451-453
        • Henderson B
        • Koepke GH
        • Feller I
        Peripheral polyneuropathy among patients with burns.
        Arch Phys Med Rehabil. 1971; 52: 149-151
        • Robinson DW
        • Masters FW
        • Forrest WJ
        Electrical burns: a review and analysis of 33 cases.
        Surgery. 1965; 57: 385-390
        • Rouse RG
        • Dimick AR
        The treatment of electrical injury compared to burn injury: a review of pathophysiology and comparison of patient management protocols.
        J Trauma. 1978; 18: 43-47
        • Silversides J
        The neurological sequelae of electrical injury.
        Can Med Assoc J. 1964; 91: 195-204