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Lightning strike: a first case of unilateral diaphragmatic paralysis

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Author(s): Timucin Alar | Yildiz Degirmenci | Handan Isin Ozisik Karaman

Journal: Clinics and Practice
ISSN 2039-7275

Volume: 1;
Issue: 4;
Start page: e94;
Date: 2011;
Original page

Keywords: lightning injury | phrenic nerve | diaphragmatic paralysis.

ABSTRACT
Lightning injury is the second most common cause of weather-related deaths in the United States. Despite the several neurological complications such as polyneuropathy, myelopathy, spinal cord injury, motor neuron disease due to the lightning-induced injury, there is no documented case of unilateral diaphragmatic paralysis. We describe the case of a patient with a history of lightning strike at childhood period, prior the onset of isolated, diaphragmatic paralysis, unilaterally. Clinical and electrophysiological findings suggest an injury restricted to the phrenic nerve, unilaterally.
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