"60" . "Otorinolaryngologie a foniatrie" . . "Mejzl\u00EDk, Jan" . "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."@en . . "Porucha sluchu vznikl\u00E1 po zasa\u017Een\u00ED bleskem"@cs . . "Porucha sluchu vznikl\u00E1 po zasa\u017Een\u00ED bleskem"@cs . "Lightning strike-induced hearing loss"@en . "221591" . "Porucha sluchu vznikl\u00E1 po zasa\u017Een\u00ED bleskem" . "Porucha sluchu po zasa\u017Een\u00ED bleskem m\u016F\u017Ee vzniknout t\u0159emi zp\u016Fsoby: elektromechanick\u00FDm po\u0161kozen\u00EDm bun\u011B\u010Dn\u00FDch membr\u00E1n elektrick\u00FDm proudem, pop\u00E1len\u00EDm a poran\u011Bn\u00EDm tlakovou vlnou. Jednotliv\u00E9 mechanismy posti\u017Een\u00ED jsou pops\u00E1ny a diskutov\u00E1ny u pades\u00E1tilet\u00E9 \u017Eeny, kter\u00E1 byla zasa\u017Eena bleskem p\u0159i telefonov\u00E1n\u00ED z pevn\u00E9ho apar\u00E1tu. Nedosl\u00FDchavost, \u0161elest, dvojit\u00E9 vid\u011Bn\u00ED, porucha rovnov\u00E1hy, do\u010Dasn\u00E1 par\u00E9za l\u00EDcn\u00EDho nervu, parestezie lev\u00E9 poloviny obli\u010Deje a prav\u00E9 horn\u00ED kon\u010Detiny byly hlavn\u00EDmi stesky nemocn\u00E9. Pacientka byla l\u00E9\u010Dena konzervativn\u011B i chirurgicky, av\u0161ak jen s \u010D\u00E1ste\u010Dnou \u00FApravou nedosl\u00FDchavosti po proveden\u00E9 myringoplastice. P\u0159es m\u00EDrn\u00FD \u00FAstup obt\u00ED\u017E\u00ED m\u00E1 v\u00EDce ne\u017E po roce p\u0159etrv\u00E1vaj\u00EDc\u00ED bolesti hlavy, tinnitus, poruchy rovnov\u00E1hy, probl\u00E9my se soust\u0159ed\u011Bn\u00EDm a pozornost\u00ED. I p\u0159es pom\u011Brn\u011B vz\u00E1cn\u00FD v\u00FDskyt tohoto typu \u00FArazu by m\u011Bly obecn\u00E9 postupy v diagnostice i v l\u00E9\u010Db\u011B z\u016Fst\u00E1vat v pov\u011Bdom\u00ED ORL l\u00E9ka\u0159e."@cs . . "1210-7867" . . . . . . . . . "25520" . . "3"^^ . . "Porucha sluchu vznikl\u00E1 po zasa\u017Een\u00ED bleskem" . "Lightning strike-induced hearing loss"@en . "[6CF144ABDBD0]" . "CZ - \u010Cesk\u00E1 republika" . "2"^^ . . "5"^^ . "Chrobok, Viktor" . "1" . "Jel\u00EDnkov\u00E1, Hana" . "I" . "RIV/00216275:25520/11:39892428" . "Porucha sluchu po zasa\u017Een\u00ED bleskem m\u016F\u017Ee vzniknout t\u0159emi zp\u016Fsoby: elektromechanick\u00FDm po\u0161kozen\u00EDm bun\u011B\u010Dn\u00FDch membr\u00E1n elektrick\u00FDm proudem, pop\u00E1len\u00EDm a poran\u011Bn\u00EDm tlakovou vlnou. Jednotliv\u00E9 mechanismy posti\u017Een\u00ED jsou pops\u00E1ny a diskutov\u00E1ny u pades\u00E1tilet\u00E9 \u017Eeny, kter\u00E1 byla zasa\u017Eena bleskem p\u0159i telefonov\u00E1n\u00ED z pevn\u00E9ho apar\u00E1tu. Nedosl\u00FDchavost, \u0161elest, dvojit\u00E9 vid\u011Bn\u00ED, porucha rovnov\u00E1hy, do\u010Dasn\u00E1 par\u00E9za l\u00EDcn\u00EDho nervu, parestezie lev\u00E9 poloviny obli\u010Deje a prav\u00E9 horn\u00ED kon\u010Detiny byly hlavn\u00EDmi stesky nemocn\u00E9. Pacientka byla l\u00E9\u010Dena konzervativn\u011B i chirurgicky, av\u0161ak jen s \u010D\u00E1ste\u010Dnou \u00FApravou nedosl\u00FDchavosti po proveden\u00E9 myringoplastice. P\u0159es m\u00EDrn\u00FD \u00FAstup obt\u00ED\u017E\u00ED m\u00E1 v\u00EDce ne\u017E po roce p\u0159etrv\u00E1vaj\u00EDc\u00ED bolesti hlavy, tinnitus, poruchy rovnov\u00E1hy, probl\u00E9my se soust\u0159ed\u011Bn\u00EDm a pozornost\u00ED. I p\u0159es pom\u011Brn\u011B vz\u00E1cn\u00FD v\u00FDskyt tohoto typu \u00FArazu by m\u011Bly obecn\u00E9 postupy v diagnostice i v l\u00E9\u010Db\u011B z\u016Fst\u00E1vat v pov\u011Bdom\u00ED ORL l\u00E9ka\u0159e." . "lightning injury; ear; telephone; lightning strike"@en . "RIV/00216275:25520/11:39892428!RIV12-MSM-25520___" . . .