Vertebrobasilar Territory Ischemic Stroke After Electrical Injury: Delayed Sequelae

• Published in: Journal of stroke and cerebrovascular diseases Vol. 23; no. 6; pp. 1721 - 1723
• Main Authors: Jain, Rajendra S., DM, Gupta, Pankaj K., MD, Handa, Rahul, MD, Nagpal, Kadam, MD, Prakash, Swayam, MD, Agrawal, Rakesh, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-07-2014
• Subjects: Brain Ischemia - etiology; Cardiovascular; delayed sequelae; Electric Injuries - complications; electrical injury; Humans; India; Male; Middle Aged; Neurology; posterior circulation; Stroke - etiology; Vertebrobasilar Insufficiency - etiology; Vertebrobasilar territory; India; electrical injury; Vertebrobasilar territory; delayed sequelae; posterior circulation
• ISSN: 1052-3057; 1532-8511
• DOI: 10.1016/j.jstrokecerebrovasdis.2013.12.023

Electrical injuries are of very common occurrence in India and can be rarely fatal. Usually most of the patients recover without any serious complications. Rarely, neurologic aftereffects have been observed in some survivors. These neurologic insults can occur as immediate or delayed manifestations and can affect the nervous system at various levels resulting in hemiplegia, aphasia, parkinsonism, choreoathetosis, and can also involve brainstem, spinal cord, peripheral nerves, and autonomic nervous system. The involvement of vertebrobasilar territory is a rare complication of electrical injury. We herein report a case of 55-year-old male laborer who presented with vertebrobasilar territory ischemic stroke, which occurred 2 weeks after an electrical injury. To the best of our knowledge, this is the first ante mortem case report of a posterior circulation ischemic stroke occurring as a delayed complication of electrical injury.