Acute Stroke due to Electrocution: Uncommon or Unrecognized?

Table 2

Published case reports of acute stroke due to electrocution.

Author, year	Age; Sex	Voltage	Entry site/exit site	CT head findings	MRI brain findings		Follow-	Other key findings
Singh Jain et al., 2015 [3]	40; Male	High 11000 V	Right arm/axilla	Bilateral, cerebellar, and left occipital hypodensity	Bilateral, cerebellar, and left occipital stroke	Normal	Symptoms improved	18% burns
Bell et al., 2014 [4]	32; Male	High 50000 V Taser gun	NP/NP	Left MCA territory infarct	Left MCA territory ischemic stroke	Distal M1 and proximal M2 left middle cerebral artery filling defect	NP
Kim et al., 2014 [5]	52; Male	Low; 220 V	Right hand/left hand		Left MCA territory ischemic stroke	Focal stenosis of left MCA, left proximal ACA, and proximal basilar artery	Symptoms resolved	Radial nerve neuropathy
Jain et al., 2014 [6]	55; Male	High 66000 V	NP/NP	NP	Left cerebellum ischemia stroke with mass effect	Diffuse narrowing/vasospasm of left vertebral artery	Symptoms improved. Vasospasm resolved at 6 months
Johl et al., 2012 [7]	43; Male	Low; 440 V	Scalp/left foot	NP	Bilateral medullary pyramids and pons	NP	Symptoms improved. MRI changes resolved	Spinal card infarction
Chen et al., 2012 [8]	62; Female	Low; 110 V	Left hand/NP	NP	Left paramedian pons ischemic stroke	Narrowing of proximal basilar artery, bilateral distal vertebral artery, and MCA likely due to thrombosis	Symptoms resolved. Stenosis progressed	Protein C deficiency
Verma et al., 2014 [9]	30; Male	Low; 240 V	NP/NP	Right MCA infarct with mass effect	NP	NP	Symptoms improved. Mass effect resolved	Acute myocardial infarction
Huan-Jui et al., 2010 [10]	50; Male	Low; 110 V	Both hands/NP	Normal	Right frontotemporal area, basal ganglia, and corona radiate stroke	Segmental narrowing of siphon of right internal carotid artery and M1 segment of middle cerebral artery	Symptoms did not improve. Vasospasm resolved	TPA was given. Vasospasm improved with intra-arterial nimodipine
Kamyar and Trob, 2009 [11]	28; Male	Low; 220 V	Both hands/left foot	Normal	Mesial occipital bilateral infarction	NP	Symptoms improved	Cardiac arrest for 10 min. Cardiogenic-ischemic encephalopathy

NP: not reported. refers to either CT MR or digital subtraction angiogram. indicates that most cases report short follow-up period.