Alteration in Gastrointestinal and Neurological Function After Electrical Injury: A Review of Four Cases

Buniak, Borys; Reedy, Dennis W.; Caldarella, Felice A.; Bales, Charles R.; Buniak, Lida; Janicek, Dixie
June 1999
American Journal of Gastroenterology;Jun1999, Vol. 94 Issue 6, p1532
Academic Journal
OBJECTIVE: Individuals exposed to an electrical injury develop a variety of complications, several of which are recognized years after the initial electrical shock. Alteration in gastrointestinal and nervous system function has been described in these patients, yet the frequency and character of these abnormalities are poorly understood. We reviewed records of 40 individuals with a history of electrical injury to identify evidence of delayed onset of complications. METHODS: Forty consecutive patients with electrical shock injuries were monitored for up to 5 yr after their traumatic event using a comprehensive systems review. Of the eight patients who described an alteration in their gastrointestinal and neurological functions, four agreed to undergo further testing. Investigations included a flexible sigmoidoscopy, anorectal manometry, stool evaluation, serological and biochemical serum analysis, and a psychological examination. RESULTS: Each of the four patients described an increase in stool frequency and urgency. Anorectal manometry detected a reduction in threshold to rectal balloon distention and an abnormal anal sphincter control. Bowel function improved with meselamine. Psychiatric symptoms involving memory and concentration were observed in varying degrees. CONCLUSIONS: To our knowledge, these induced physiological and psychological changes after exposure to electrical shock injury have not yet previously been described. Our findings should encourage further clinical investigations to better anticipate, diagnose, and manage these and other as yet unrecognized delayed complications of electrical shock injury.


Related Articles

  • New Technique May Help Severely Damaged Nerves Regrow And Restore Function.  // Operating Theatre Journal;May2012, Issue 260, p3 

    The article reports on the discovery of the new method called nerve guidance conduits (NGCs) by the engineers at the University of Sheffield in England that will assist damaged nerves to regrow and restore naturally.

  • A single re-implanted ventral root exerts neurotropic effects over multiple spinal cord segments in the adult rat. Hoang, Thao X.; Havton, Leif A. // Experimental Brain Research;Feb2006, Vol. 169 Issue 2, p208 

    Spinal cord injuries, particularly traumatic injuries to the conus medullaris and cauda equina, are typically complex and involve multiple segmental levels. Implantation of avulsed ventral roots into the spinal cord as a repair strategy has been shown to be neuroprotective and promote axonal...

  • The Late Medical Complications of Severe Acquired Brain Injury in Children -- Literature Review and Personal Practice. Part II: Non-Neurological Complications. Haywood, Serena; Albanese, Assunta; Chetan, Ravi; Chong, Sonny; Santosh, Paramala // Current Medical Literature: Neurology;2010, Vol. 26 Issue 2, p29 

    The authors focus on acquired brain injury (ABI) in children and its medical complications. They relate the literature about children with neurodevelopmental delay, ABIs and gastrointestinal problems. They add that survivors of ABIs are also prone to significant neuroendocrine dysfunctions. The...

  • What Immediate Post-Injury Complications Can Occur From a TBI?  // Traumatic Brain Injury: Hope Through Research;May2010, p8 

    The article discusses several post-injury complications that can occur immediately after a traumatic brain injury (TBI). It mentions various complications including seizures, hydrocephalus, cerebrospinal fluid (CSF) leaks, infections, and vascular injuries. It states that CSF leaks are caused by...

  • Meningitis associated with Vancomycin resistant Enterococcus casseliflavus: First report. Duygu, Fazilet; Balcı, Pervin Özlem; Solmaz, Mehtap; Uçar, Nilay Sefa // Journal of Microbiology & Infectious Diseases;Jul2011, Vol. 1 Issue 3, p138 

    Enterococci are present in the gastrointestinal system as normal floral components. In the past two decades members of the genus Enterococcus have emerged as important nosocomial pathogens worldwide. Enterococci may cause a range of different disorders such as urinary tract, intraabdominal, and...

  • Over-the-Scope Clip Application Yields a High Rate of Closure in Gastrointestinal Perforations and May Reduce Emergency Surgery. Hagel, Alexander; Naegel, Andreas; Lindner, Annette; Kessler, Hermann; Matzel, Klaus; Dauth, Wolfgang; Neurath, Markus; Raithel, Martin // Journal of Gastrointestinal Surgery;Nov2012, Vol. 16 Issue 11, p2132 

    Background: Perforation of the gastrointestinal tract may cause various complications and may require emergency surgery, even in patients with significant comorbidities. Methods: Seventeen consecutive patients with indication for surgery due to a visible gastrointestinal perforation were treated...

  • Cognitive Intra-Individual Variability Has a Positive Association with Traumatic Brain Injury Severity and Suboptimal Effort. Hill, Benjamin D.; Rohling, Martin L.; Boettcher, Anneliese C.; Meyers, John E. // Archives of Clinical Neuropsychology;Nov2013, Vol. 28 Issue 7, p640 

    This study examined intra-individual variability in a large sample (n = 629) of individuals with a history of mild traumatic brain injury (mTBI) or TBI referred for neuropsychological evaluation. Variability was assessed using the overall test battery mean standard deviation (OTBM SD). We found...

  • Factitious disorders encountered in patients with the diagnosis of reflex sympathetic dystrophy. Taskaynatan, Mehmet; Balaban, Birol; Karlidere, Tunay; Ozgul, Ahmet; Tan, Arif; Kalyon, Tunc // Clinical Rheumatology;Oct2005, Vol. 24 Issue 5, p521 

    Reflex sympathetic dystrophy (RSD) may be a misdiagnosis or at least not descriptive enough in patients with atypical hand posture and atypical edema. Seven patients with the previous diagnosis of RSD were investigated further because of inconsistent clinical picture with the underlying...

  • Better days are coming for Riley-Day patients. Luft, F. // Journal of Molecular Medicine;Feb2007, Vol. 85 Issue 2, p99 

    The article discusses the importance of kinetin also known as 6-furfurylaminopurine on skin care. Kinetin has been found as a useful treatment for familial dysautonomia, a disease that has no effective cure. Results from previous study indicated that about 8% of internal exons contained the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics