Super-refractory Status Epilepticus and Cerebellar Involvement Following High-Voltage Electrical Injury

Electrocution injuries can impact any organ or system in the body. The symptoms vary widely, from immediate cardiac arrest due to high-voltage current to mild discomfort caused by low-voltage current. There are four main types of electric injuries: flash, flame, lightning, and true direct injuries. Among these true and flame electric injuries are those that involve the body and have distinct entrance and exit sites.  Immediate effects on the central nervous system following a high-voltage injury may include loss of consciousness, confusion, seizures, and poor recall. However, seizures as a complication of electric brain injury are rarely reported. Central syndromes, including cerebellar syndromes, can be a result of both traumatic events and the mechanical effects of current flow, which may lead to an increased risk of morbidity.  Complications related to the peripheral nervous system, cognitive impairment, and psychological effects are less commonly reported after electric injuries. In this context, we describe a rare case of electrical injury accompanied by unusual neurological complications.