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Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report
- Source :
- BMC Neurology, Vol 20, Iss 1, Pp 1-4 (2020), BMC Neurology
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Weakness
Neurology
cvg.game_series
Pyramidal Tracts
Diffusion tensor tractography
Case Report
lcsh:RC346-429
03 medical and health sciences
0302 clinical medicine
Fractional anisotropy
Electrical shock
medicine
Humans
Neurochemistry
cvg
lcsh:Neurology. Diseases of the nervous system
Muscle Weakness
030214 geriatrics
business.industry
Muscle weakness
General Medicine
Anatomy
Hand
Corticoreticular pathway
Corticospinal tract
Electric Injuries
Diffusion Tensor Imaging
Neural injury
Neural tract
Anisotropy
Neurology (clinical)
medicine.symptom
business
030217 neurology & neurosurgery
Diffusion MRI
Subjects
Details
- ISSN :
- 14712377
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- BMC Neurology
- Accession number :
- edsair.doi.dedup.....a3d02dd1eaddf9492a87c348f3ff4965