Neuroimaging of Lightning-Related Cerebral Demyelination: A Case Report

High-voltage electrical injuries from lightning are not only responsible for causing fatal burns but can also cause various neurological abnormalities. Herein, we present a case of a middle-aged woman who was struck by lightning and presented with disorientation and persistent vomiting. The magnetic resonance imaging (MRI) of the brain revealed confluent, symmetrical T2/fluid-attenuated inversion recovery (FLAIR) hyperintensities in the white matter of both cerebral hemispheres and the brainstem. She received steroids for brain inflammation, and her symptoms improved. This is a rare case of lightning-induced diffuse cerebral and brain stem demyelination.