Özet:

High voltage electrical injury (YVEY) may be accompanied by traumatic brain injury (TBH). Amantadine has been frequently used in TBH in recent years. The Glasgow Koma Scale (GKS) was 12 when the 26-year-old male patient, who developed consciousness loss with a 32,000 voltage electric crash, received intensive care. The pupils of the patient with confusion-agitation and vision imbalance were isocorical, light reflection was bilateral positive. No pathology was detected during the eye subtract examination. The cervical, thorax and abdominal tomographs were normal, while the brain tomographs contained subcutaneous hematomas in the right oxypital area. 36% of patients with entrance and exit points on both hands and palms had 2nd and 3rd degrees burns. The diagnosis of Compartman syndrome was carried out on the right side of the facyotomy with an emergency surgery. Creatine phosphokinase (CPK) value is 933 IU/L, urine dancability is high and myoglobinuric, with aggressive fluid treatment and alkaline diuresis, 1 ml/kg/hour urination is provided. The patient's agitation improved on the 3rd day of the first day of intravenous (iv) treatment with amantadine sulfate 2x1 and the GKS was 15. The postoperative was transferred to the Plastic Surgery Department on the 6th day. As a result, in the YVEY accompanied by TBH, amantadine is an agent that should be added to standard treatment. With its early start, we consider that neurological stability can be achieved with constipation, loss of mental flexibility, rapid improvement in irritability and agitation.

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