Mejzlík J., Chrobok V., Jelínková H.: Lightning Strike-induced Hearing Loss


Authors: J. Mejzlík 1,2;  V. Chrobok 1,2,3;  H. Jelínková 1
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku, Pardubická krajská nemocnice, a. s., přednosta prof. MUDr. V. Chrobok, CSc., Ph. D. 1;  Katedra klinických oborů Fakulty zdravotnických studií Univerzity Pardubice, vedoucí doc. MUDr. K. Havlíček, CSc. 2;  Katedra válečné chirurgie, Fakulta vojenského zdravotnictví, Univerzita obrany, Hradec Králové, vedoucí katedry doc. MUDr. L. Klein, CSc. 3
Published in: Otorinolaryng. a Foniat. /Prague/, 60, 2011, No. 1, pp. 46-50.
Category: Case Reports

Overview

Lightning strike induces hearing loss in three different ways:
blast injury, burns and electromechanical disintegration of cell membranes. Each of these three types of pathophysiological processes is described and discussed in this case report.

A fifty year old lady was struck by lightning when using a wired phone. The main complaints were hearing impairment, tinnitus, double vision, dizziness, temporary facial nerve palsy, sensory deficit of the left face and right upper extremity. Conservative treatment was started immediately: antibiotics, corticosteroids, vitamin B 12 and Agapurin. After four months a left side myringoplasty was performed. However, more than one year after the injury she still suffers from headaches, tinnitus, balance dysfunction and loss of concentration. Despite the rarity of lightning induced hearing impairment, the basics of treatment should be generally known.

Key words:
lightning strike, telephone, ear, lightning injury.


Sources

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5. Lightning Safety. National Oceanic and Athmospheric Administration (NOAA) [on line]. [cit. 2009-11-20]. Dostupné na WWW: <http://www.lightningsafety.noaa.gov>.

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7. Offiah, C., Heran, M., Graeb, D.: Lightning strike: a rare cause of bilateral ossicular disruption. American Journal of Neuroradiology, roč. 28, 2007, č. 5, s. 974-975.

8. Ozgun, B., Castillo, M.: Basal ganglia hemorrhage related to lightning strike. American Journal of Neuroradiology, roč. 16, 1995, č. 6, s. 1370-1371.

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Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)

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Otorhinolaryngology and Phoniatrics

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2011 Issue 1

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