title: Intracerebral venous thrombosis and hematoma secondary to high-voltage brain injury.
abstract: 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.
authors.affiliation: Institute of Neuropathology, University Hospital Zurich, Switzerland.
authors.forename: U
authors.initials: U
authors.lastname: Sure
authors.forename: P
authors.initials: P
authors.lastname: Kleihues
mesh_terms: 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