Intracerebral venous thrombosis and hematoma secondary to high-voltage brain injury.
We report the case of a 19-year-old male who sustained an electrodynamic (16.67 Hz) high-voltage (15,000 V) railway overhead cable injury. He lost consciousness 30 minutes after contact and died secondary to brainstem herniation as a result of intracerebral swelling within 8 days. Repeated cranial computed tomography revealed a huge hemispheric mass bleeding accompanied by subarachnoidal hemorrhage. Additionally, necropsy showed an extensive thrombosis of the adjacent cerebral veins. The pathophysiological mechanism of this unusual injury is discussed.
Sure
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Institute of Neuropathology, University Hospital Zurich, Switzerland.
Kleihues
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D000328:Adult; D001927:Brain Diseases / Q000209:etiology; D001933:Brain Stem / Q000473:pathology; D004556:Electric Injuries / Q000150:complications* / Q000473:pathology; D017809:Fatal Outcome; D006547:Hernia / Q000209:etiology; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology* / Q000473:pathology; D008297:Male; D013345:Subarachnoid Hemorrhage / Q000209:etiology* / Q000473:pathology