Case ReportIntracerebral Venous Thrombosis and Hematoma Secondary to High-voltage Brain InjurySure, U. MD; Kleihues, P. MDAuthor Information From the Institute of Neuropathology, University Hospital Zurich, Switzerland. Address for reprints: Ulrich Sure, MD, Neurochirurgische Klinik, Philipps-Universitat Marburg. Baldingerstrasse, D-35033 Marburg, Germany; fax: 49-6421-285731. The Journal of Trauma: Injury, Infection, and Critical Care: June 1997 - Volume 42 - Issue 6 - p 1161-1164 Buy Abstract We report the case of a 19-year-old male who sustained an electrodynamic (16.67 Hz) high-voltage (15,000 V) railway overhead cable injury. He lost consciousness 30 minutes after contact and died secondary to brainstem herniation as a result of intracerebral swelling within 8 days. Repeated cranial computed tomography revealed a huge hemispheric mass bleeding accompanied by subarachnoidal hemorrhage. Additionally, necropsy showed an extensive thrombosis of the adjacent cerebral veins. The pathophysiological mechanism of this unusual injury is discussed. © Williams & Wilkins 1997. All Rights Reserved.