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Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report
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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153230/ https://www.ncbi.nlm.nih.gov/pubmed/32284040 http://dx.doi.org/10.1186/s12883-020-01707-2 |
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author | Boudier-Revéret, Mathieu Hsiao, Ming-Yen Shyu, Shaw-Gang Chang, Min Cheol |
author_facet | Boudier-Revéret, Mathieu Hsiao, Ming-Yen Shyu, Shaw-Gang Chang, Min Cheol |
author_sort | Boudier-Revéret, Mathieu |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7153230 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71532302020-04-19 Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report Boudier-Revéret, Mathieu Hsiao, Ming-Yen Shyu, Shaw-Gang Chang, Min Cheol BMC Neurol Case Report 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. BioMed Central 2020-04-13 /pmc/articles/PMC7153230/ /pubmed/32284040 http://dx.doi.org/10.1186/s12883-020-01707-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Boudier-Revéret, Mathieu Hsiao, Ming-Yen Shyu, Shaw-Gang Chang, Min Cheol Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report |
title | Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report |
title_full | Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report |
title_fullStr | Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report |
title_full_unstemmed | Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report |
title_short | Injury of Corticospinal tract and Corticoreticular pathway caused by high-voltage electrical shock: a case report |
title_sort | injury of corticospinal tract and corticoreticular pathway caused by high-voltage electrical shock: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153230/ https://www.ncbi.nlm.nih.gov/pubmed/32284040 http://dx.doi.org/10.1186/s12883-020-01707-2 |
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