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.
Electrocution injury, Multiple cranial neuropathies, Cavernous Sinus Thrombosis, Escherashia coli, Candida albicans
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