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American Journal of Neuroradiology 28:974-975, May 2007
© 2007 American Society of Neuroradiology

Case Report
HEAD & NECK

Lightning Strike: A Rare Cause of Bilateral Ossicular Disruption

C. Offiaha, M. Heranb and D. Graebb

a Department of Neuroradiology, St. Bartholomew and the Royal London Hospitals, West Smithfield, London, UK
b Department of Neuroradiology, Vancouver General Hospital, Vancouver, BC, Canada

Please address correspondence to C. Offiah, MD, Department of Neuroradiology, St. Bartholomew and the Royal London Hospitals, West Smithfield, London, UK, EC1A 7BE; e-mail: curtisoffiah{at}yahoo.co.uk

SUMMARY: Otologic injury associated with fatal and nonfatal lightning strikes has been sporadically reported in the literature. The most common acoustic insult is a conductive hearing loss secondary to rupture of the tympanic membrane. Although conjecture has been made of the theoretic possibility of ossicular injury from lightning strike, to our knowledge, none has been demonstrated intraoperatively or postmortem. We report the first documented case of ossicular disruption in a lightning-strike victim.




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