Multiple cranial neuropathies are uncommon but not rare. Localization also depends on the etiology. Electrocution can cause neuropraxia, axonal damage, and necrosis of soft tissue and bones. We are presenting a rare case of post electrocution injury secondary infection of the head leading to the right side all cranial nerves palsy. Our patient suffered an electrocution injury. Post electrocution injury, he developed right sided multiple cranial nerve palsy. CT head was suggestive of skull base osteomyelitis. MRI brain images showed the right cavernous sinus involvement, soft tissue enhancement at the eight sphenoid sinus, right mastoiditis, soft tissue enhancement in the right infra temporal fossa and sphenoid wings. Escherashia Coli and Candida were isolated from purulent ear discharge. This could be secondary infection. This is a very rare case where a patient developed all right sided Lower Motor Neuron type cranial nerve palsies due to infection following electrocution. However, other etiology cannot be ruled out. Dr. Rahul Soni | Dr. Abhinav Kumar | Dr. Kuldeep Kumar Ashta "A Case of Multiple Cranial Nerves Palsy Post Electrocution" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-6 , October 2021, URL: https://www.ijtsrd.com/papers/ijtsrd47638.pdf Paper URL : https://www.ijtsrd.com/medicine/other/47638/a-case-of-multiple-cranial-nerves-palsy-post-electrocution/dr-rahul-soni
International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 5 Issue 6, September-October 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD47638 | Volume – 5 | Issue – 6 | Sep-Oct 2021
Page 1473
A Case of Multiple Cranial Nerves Palsy Post Electrocution
Dr. Rahul Soni1, Dr. Abhinav Kumar2, Dr. Kuldeep Kumar Ashta3
1Classified Specialist Medicine & Neurologist, 2Resident Medicine, 3Senior Advisor Medicine,
1,2,3Base Hospital Delhi Cantt, Delhi, India
ABSTRACT
Multiple cranial neuropathies are uncommon but not rare.
Localization also depends on the etiology. Electrocution can cause
neuropraxia, axonal damage, and necrosis of soft tissue and bones.
We are presenting a rare case of post electrocution injury secondary
infection of the head leading to the right side all cranial nerves
palsy. Our patient suffered an electrocution injury. Post electrocution
injury, he developed right sided multiple cranial nerve palsy. CT
head was suggestive of skull base osteomyelitis. MRI brain images
showed the right cavernous sinus involvement, soft tissue
enhancement at the eight sphenoid sinus, right mastoiditis, soft tissue
enhancement in the right infra-temporal fossa and sphenoid wings.
Escherashia Coli and Candida were isolated from purulent ear
discharge. This could be secondary infection. This is a very rare case
where a patient developed all right-sided Lower Motor Neuron type
cranial nerve palsies due to infection following electrocution.
However, other etiology cannot be ruled out.
KEY WORDS: Electrocution injury, Multiple cranial neuropathies,
Cavernous Sinus Thrombosis, Escherashia coli, Candida albicans
How to cite this paper: Dr. Rahul Soni |
Dr. Abhinav Kumar | Dr. Kuldeep
Kumar Ashta "A Case of Multiple
Cranial
Nerves
Palsy
Post
Electrocution" Published in International
Journal of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-5 |
Issue-6,
October
2