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Skeletal Radiology

, Volume 36, Issue 7, pp 671–675 | Cite as

Acute rhabdomyolysis of the soleus muscle induced by a lightning strike: magnetic resonance and scintigraphic findings

  • Naofumi WatanabeEmail author
  • Tsutomu Inaoka
  • Noriyuki Shuke
  • Koji Takahashi
  • Tamio Aburano
  • Naoyuki Chisato
  • Hitoshi Nochi
  • Kazutomo Go
Case Report

Abstract

Among natural disasters, a lightning strike is a rare but potentially life-threatening phenomenon. If victims survive a cardiac arrest due to instantaneous passage of an exceptionally high voltage electric charge through the whole body, they may be afflicted with various complications such as muscle necrosis resulting in acute renal failure. In this article, we report a case of a 54-year-old man with acute rhabdomyolysis of the left soleus muscle associated with a lightning strike. T2-weighted and short-tau inversion recovery MR images showed a high signal intensity in the left soleus muscle. A whole-body bone scintigram showed abnormal uptakes in the left soleus muscle and the dorsal aspect of the left foot. MR and scintigraphic evaluations were very useful in depicting the site and extent of muscle damage. Since the patient showed a surprisingly high level of serum creatine kinase, the added information was very valuable for determining the patient’s management.

Keywords

Lightning Rhabdomyolysis MR imaging Bone scintigraphy 

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Copyright information

© ISS 2007

Authors and Affiliations

  • Naofumi Watanabe
    • 1
    Email author
  • Tsutomu Inaoka
    • 1
  • Noriyuki Shuke
    • 1
  • Koji Takahashi
    • 1
  • Tamio Aburano
    • 1
  • Naoyuki Chisato
    • 2
  • Hitoshi Nochi
    • 3
  • Kazutomo Go
    • 2
  1. 1.Department of RadiologyAsahikawa Medical CollegeAsahikawaJapan
  2. 2.Department of Emergency MedicineAsahikawa Medical CollegeAsahikawaJapan
  3. 3.Department of Orthopaedic SurgeryAsahikawa Medical CollegeAsahikawaJapan

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