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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(4):786-791.
The Neuropathy of the Electrical Burn.
Kim, Min Wook , Kim, Jae Hyung , Lee, Jong Min , Paik, Nam Jong , Kang, Min Joung , Kim, Byung Sik
1Department of Rehabilitation Medicine, National Rehabilitation Hospital.
2Department of Rehabilitation Medicine, College of Medicine, Dongguk University.
3Department of Rehabilitation Medicine, College of Medicine, Seoul National University.
전기감전 화상환자의 신경 손상에 대한 연구
김민욱, 김재형, 이종민1, 백남종2, 강민정, 김병식
국립재활병원 재활의학과, 1동국대학교 의과대학 재활의학교실, 2서울대학교 의과대학 재활의학교실
Abstract

Objective
To know the category, incidence, severity and clinical correlation, we evaluate the patient with neuropathy due to electrical burn on the basis of the electrodiagnostic findings and clinical feature.


Method
We reviewed the electrodiagnostic findings of 30 patients who had been referred for the evaluation of the neuromuscular symptoms due to electrical burn. The clinical factors such as the input and output of the electrical current, current pathway, associated injury, neuromuscular symptoms and signs were investigated by the chart review and phone interview.


Results
1) The 67% of the cases had the peripheral neuropathy and the 40% had the central nervous system lesion. 2) The median nerve was the most frequent injured nerve by electrical burn and then ulnar nerve was the next. 3) The 82% of the mononeuropathies were related to the entrance site of the electricity and the 35% were related to the exit site. 4) The central nervous system lesion was highly correlated with the current pathway through the head.


Conclusion
The mononeuropathy, one of the peripheral neuropathies is closely related to the entrance and exit site of electrical injury. The central nervous system lesion was highly related to the current pathway through the head.

Key Words: Electrical burn, Neuropathy, Electrodiagnosis


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