Paraparesis following peripheral and central nervous system lesions after a lightning strike – a case report
Objective: To describe a case of paraparesis caused by both peripheral neuropathy and spinal cord injury following a lightning strike, highlighting imaging findings and neurophysiological results to improve understanding and management. Design: A case report. Patient: A 29-year-old male without si...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2025-04-01
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| Series: | Journal of Rehabilitation Medicine - Clinical Communications |
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| Online Access: | https://medicaljournalssweden.se/jrm-cc/article/view/42545 |
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| author | Zoé Moyaux Maria Ciravegna Fonseca De Melo Bandeira Idil Gunes Tatar Gautier Randour Mathilde Massardier Vincent van Pesch Thierry Lejeune |
| author_facet | Zoé Moyaux Maria Ciravegna Fonseca De Melo Bandeira Idil Gunes Tatar Gautier Randour Mathilde Massardier Vincent van Pesch Thierry Lejeune |
| author_sort | Zoé Moyaux |
| collection | DOAJ |
| description | Objective: To describe a case of paraparesis caused by both peripheral neuropathy and spinal cord injury following a lightning strike, highlighting imaging findings and neurophysiological results to improve understanding and management.
Design: A case report.
Patient: A 29-year-old male without significant medical or surgical history, struck by lightning.
Methods: Neurological evaluation, imaging of the spinal cord, electromyography studies, and somatosensory evoked potential assessments were performed. Imaging findings and peripheral nerve evaluations were compared to the existing literature on lightning-related injuries.
Results: Spinal cord imaging showed hyperintensities with a quadrifocal white matter involvement. Neurophysiological study revealed peripheral motor impairment.
Conclusion: This case documents paraparesis resulting from both central and peripheral nervous system damage following a lightning strike. Unique spinal cord imaging results and neurophysiological studies contribute to the understanding of nerve damage mechanisms. Given the increasing frequency of lightning strikes, these findings may help refining clinical management and patient education strategies.
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| format | Article |
| id | doaj-art-9c3fdd613eb34b2d98615d4db68b8cb6 |
| institution | DOAJ |
| issn | 2003-0711 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine - Clinical Communications |
| spelling | doaj-art-9c3fdd613eb34b2d98615d4db68b8cb62025-08-20T03:03:45ZengMedical Journals SwedenJournal of Rehabilitation Medicine - Clinical Communications2003-07112025-04-01810.2340/jrm-cc.v8.42545Paraparesis following peripheral and central nervous system lesions after a lightning strike – a case reportZoé Moyaux0Maria Ciravegna Fonseca De Melo Bandeira1Idil Gunes Tatar2Gautier Randour3Mathilde Massardier4Vincent van Pesch5Thierry Lejeune6Université catholique de Louvain, Secteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique, NeuroMusculoSkeletalLab (NMSK), Brussels, Belgium; Cliniques universitaires Saint-Luc, Service de médecine physique et réadaptation, Brussels, BelgiumCliniques universitaires Saint-Luc, Service de neurologie, Brussels, BelgiumCliniques universitaires Saint-Luc, Service de radiologie, Brussels, BelgiumCliniques universitaires Saint-Luc, Service de médecine physique et réadaptation, Brussels, BelgiumCliniques universitaires Saint-Luc, Service de médecine physique et réadaptation, Brussels, BelgiumCliniques universitaires Saint-Luc, Service de neurologie, Brussels, BelgiumUniversité catholique de Louvain, Secteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique, NeuroMusculoSkeletalLab (NMSK), Brussels, Belgium; Cliniques universitaires Saint-Luc, Service de médecine physique et réadaptation, Brussels, BelgiumObjective: To describe a case of paraparesis caused by both peripheral neuropathy and spinal cord injury following a lightning strike, highlighting imaging findings and neurophysiological results to improve understanding and management. Design: A case report. Patient: A 29-year-old male without significant medical or surgical history, struck by lightning. Methods: Neurological evaluation, imaging of the spinal cord, electromyography studies, and somatosensory evoked potential assessments were performed. Imaging findings and peripheral nerve evaluations were compared to the existing literature on lightning-related injuries. Results: Spinal cord imaging showed hyperintensities with a quadrifocal white matter involvement. Neurophysiological study revealed peripheral motor impairment. Conclusion: This case documents paraparesis resulting from both central and peripheral nervous system damage following a lightning strike. Unique spinal cord imaging results and neurophysiological studies contribute to the understanding of nerve damage mechanisms. Given the increasing frequency of lightning strikes, these findings may help refining clinical management and patient education strategies. https://medicaljournalssweden.se/jrm-cc/article/view/42545case reportlightning injuriesperipheral nervous system diseasesspinal cord disease |
| spellingShingle | Zoé Moyaux Maria Ciravegna Fonseca De Melo Bandeira Idil Gunes Tatar Gautier Randour Mathilde Massardier Vincent van Pesch Thierry Lejeune Paraparesis following peripheral and central nervous system lesions after a lightning strike – a case report Journal of Rehabilitation Medicine - Clinical Communications case report lightning injuries peripheral nervous system diseases spinal cord disease |
| title | Paraparesis following peripheral and central nervous system lesions after a lightning strike – a case report |
| title_full | Paraparesis following peripheral and central nervous system lesions after a lightning strike – a case report |
| title_fullStr | Paraparesis following peripheral and central nervous system lesions after a lightning strike – a case report |
| title_full_unstemmed | Paraparesis following peripheral and central nervous system lesions after a lightning strike – a case report |
| title_short | Paraparesis following peripheral and central nervous system lesions after a lightning strike – a case report |
| title_sort | paraparesis following peripheral and central nervous system lesions after a lightning strike a case report |
| topic | case report lightning injuries peripheral nervous system diseases spinal cord disease |
| url | https://medicaljournalssweden.se/jrm-cc/article/view/42545 |
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