Onset of symptomatic hydrocephalus requiring emergency cerebrospinal fluid diversion following high-voltage electrical burn injury.
High-voltage electrical injuries have been reported to cause a plethora of neurological complications including cognitive, motor, and sensory deficits in an immediate or delayed fashion. In this setting, new-onset symptomatic hydrocephalus requiring CSF shunt placement has not been described. The authors present the case of an 18-year-old man who sustained a high-voltage electrical injury with a calvarial contact point that required emergency CSF diversion within hours of injury and subsequently required placement of a lumboperitoneal shunt. Management of the open calvarial wound, which required rotational flap reconstruction, and the need for ongoing CSF diversion required care and a team approach.
Ackerman
Laurie L
LL
Department of Neurological Surgery, Riley Children's Hospital/Indiana University, Indianapolis, Indiana 46202-5200, USA. lackerma@iupui.edu
Ryken
Timothy C
TC
Kealey
G Patrick
GP
Traynelis
Vincent C
VC
D000293:Adolescent; D002058:Burns, Electric / Q000150:complications*; D002557:Cerebrospinal Fluid Shunts; D004632:Emergency Medical Services / Q000379:methods; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D008297:Male; D019635:Neurosurgical Procedures; D012886:Skull / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome