Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report.

Abstract:

BACKGROUND:We imaged the corticospinal tract (CST) and corticoreticular pathway (CRP) using diffusion tensor tractography (DTT) to evaluate the cause of muscle weakness in a patient who was exposed to high-voltage electricity. CASE PRESENTATION:A 39-year-old man presented with quadriparesis after high-voltage electrical shock from power lines while working about 5.8 years ago. The electrical current entered through the left hand and exited through the occipital area of the head. The degree of weakness on bilateral upper and lower extremities was 3-4 on the Medical Research Council strength scale. Diffusion tensor imaging (DTI) was performed 5.8 years after onset. The CST and CRP were depicted by placing two regions of interest for each neural tract on the two-dimensional fractional anisotropy color map. DTT of the DTI scan showed that the bilateral CST and CRP were thinned compared to those of the healthy control subject. On the nerve conduction test, abnormal findings suggesting peripheral nerve lesion were not observed. Therefore, injury of bilateral CST and CRP seems to have contributed to our patient's weakness after the electrical shock. CONCLUSION:Depiction of neural tracts in the brain using DTT can assist in the accurate and detailed evaluation of the cause of neural deficit after electrical injury.

journal_name

BMC Neurol

journal_title

BMC neurology

authors

Boudier-Revéret M,Hsiao MY,Shyu SG,Chang MC

doi

10.1186/s12883-020-01707-2

subject

Has Abstract

pub_date

2020-04-13 00:00:00

pages

130

issue

1

issn

1471-2377

pii

10.1186/s12883-020-01707-2

journal_volume

20

pub_type

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