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Case Report
Epilepsy secondary to brain injury by electrocution: A case report
1 Medical student at Iguaçu University - UNIG/RJ, Nova Iguaçu - RJ, Brazil
2 Professor of Neurology - Universidade Iguaçu - UNIG-RJ, Nova Iguaçu - RJ; Physician of the Neurology Service of Nova Iguaçu General Hospital, Nova Iguaçu, RJ, Brazil
3 Department of Neurology of Hospital Geral de Nova Iguaçu, PhD student in Neurology at the Federal University of the State of Rio de Janeiro - UNIRIO, Adjunct Professor of Medicine at Iguaçu University - UNIG/Nova Iguaçu, RJ, Brazil
Address correspondence to:
Antônio Marcos da Silva Catharino
Rua Gavião Peixoto 70, Room 811, CEP 24.2230-100, Icaraí, Niterói-RJ,
Brazil
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Article ID: 101444Z01GA2024
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How to cite this article
Almeida GR, Formoso CNP, Pereira DA, Martins Jr GC, da Silva Catharino AM. Epilepsy secondary to brain injury by electrocution: A case report. Int J Case Rep Images 2024;15(1):50–54.ABSTRACT
Introduction: According to the Yearbook of Accidents of Electrical Origin for the year 2022, 853 accidents due to electric shock were reported in Brazil, of which 592 died, a reduction of 12.2% in mortality compared to the previous year. Three conditions elucidate trauma switches caused by the passage of electric current, the regulatory alterations by the passage of electric current, the conversion of electrical energy into thermal, known as the Joule effect, and muscle damage by the electrical stimulus of exacerbated contractions.
Case Report: A 51-year-old male patient was followed up on an outpatient basis due to a nervous breakdown caused by accident with a high-voltage electrical discharge 15 years ago. After the event, he evolved with conduction aphasia, homonymous hemianopia on the right, hypoesthesia on the right side of the body, dysmetria on the right upper limb, and epileptic seizures of focal onset, evolving into tonic-clonic seizures. For seizure control, carbamazepine 200 mg 3 times a day was administered, with complete seizure control since then.
Conclusion: Therefore, it is important to emphasize that the damage caused by electrocution to the central nervous system (CNS) is varied. Still, due to the patient’s clinical presentation, his neuroimaging findings, and his history, this is epilepsy secondary to electrocution. Encephalomalacia demonstrates a large scar in the brain tissue, and its control of seizure episodes with the adopted pharmacotherapy also corroborates.
Keywords: Brain diseases, Electric injuries, Epilepsy
SUPPORTING INFORMATION
Author Contributions
Gabriella Telles Almeida - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Camilla Nunes Proença Formoso - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Daniel Antunes Pereira - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Gilberto Canedo Martins Jr - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Antônio Marcos da Silva Catharino - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Gabriella Telles Almeida et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
