Scientific Article
previous document  unige:93621  next document
add to browser collection
Title

Cardio-embolic cerebellar stroke secondary to mitral valve chordae rupture as a delayed complication of a high-voltage electrical injury
Authors
Fleury, Vanessa
Kleinig, Timothy J
Thompson, Philip D
Ravindran, Janakan
Published in Journal of Clinical Neuroscience. 2008, vol. 15, no. 2, p. 210-212
Abstract A 41-year-old farmer sustained a high-voltage electrical injury resulting in confusion, electrical burns and paroxysmal atrial fibrillation which spontaneously reverted to sinus rhythm after a few hours. Two weeks later he presented with a sudden onset of headache, unsteadiness, horizontal oscillopsia and paraesthesia in the right side of his face. Examination revealed nystagmus to the right, right-sided limb ataxia and a tendency to veer toward the right when walking. An MRI of the brain demonstrated an acute infarct of the right cerebellar hemisphere in the territory of the right posterior inferior cerebellar artery. A transesophageal echocardiogram showed a ruptured mitral valve chordae. This is the first report of a cardio-embolic stroke secondary to mitral valve chordae rupture as a delayed complication of high-voltage electrical injury. Although many mechanisms of direct cerebral electrical injury have been speculated, a cardio-embolic origin should not be overlooked as a cause of stroke secondary to high-voltage electrical injury.
Keywords Adult — Cerebellum/pathology — Electric Injuries/complications — Heart Rupture/etiology — Humans — Magnetic Resonance Imaging — Male — Mitral Valve/pathology — Myocardial Infarction/etiology/pathology — Necrosis/etiology — Stroke/etiology/pathology
Identifiers
PMID: 18068986
Full text
Article (Published version) (228 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Citation
(ISO format) 		FLEURY, Vanessa et al. Cardio-embolic cerebellar stroke secondary to mitral valve chordae rupture as a delayed complication of a high-voltage electrical injury. In: Journal of Clinical Neuroscience, 2008, vol. 15, n° 2, p. 210-212. doi: 10.1016/j.jocn.2006.09.008 https://archive-ouverte.unige.ch/unige:93621

213 hits

0 download

Contact an author

Update request

Update

Deposited on : 2017-04-20

Export document
Format :
Citation style :