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KMID : 0361619920270041187
Journal of the Korean Orthopaedic Association
1992 Volume.27 No. 4 p.1187 ~ p.1193
Electromyographic evaluation of delayed spinal cord injury secondary to high voltage electrical bums
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Abstract
Delayed spinal cord injury has been reported as a very rare condition I electrical burn injury. However it was quite frequently observed in our experience, so we tried prospective study using EMG as a screening test for the purpose of early
diagnosis
and prognosis evaluation.
The following results were obtained.
1. From December 1989 to December 1990, we studied 14 patients who sustained electrical injury which occurred when the path of current was either from arm to arm or from leg to arm.
2. Average age of patients was 28.6 years (range, 10-41 years) and all the patient were male.
3. Average interval from accident time to EMG was 95 days. (42-289 days)
4. Average duration from accident time to the last follow up day was 209 days. (135-326 days)
5. There was 6 cases of initial loss of consciousness, and there was only 1 case of ankle clonus or hyperreflexia initially.
6. There was to definite sensory change except 1 which was combined with T 5, 6, 7 fracture.
7. There was no anatomical evidence of spinal cord injury on CT or MRI in the 4 cases which were confirmed by EMG previously.
In conclusion, the frequence of spinal cord injury is relatively high in patients with electrical burn when the path of current is from arm to leg or from leg to arm, so it is helpful to perform EMG prospectively for the purpose of initial
diagnosis and
prognosis evaluation.
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