Extra dural hematoma following a high voltage electrocution accident: A case report

Electrification accidents is a serious pathology due to the passage of an electric current through the body. The clinical manifestation is mainly represented by skin lesions with burners of different degrees however all the tissues of the body can be affected. The cerebral manifestation is a rare entity described in the literature. In this paper, we report the case of a patient with an electrocution accident manifested by an extradural hematoma who has not encountered a similar case described in the literature. We therefore present this case which poses a poorly understood pathophysiological problem. •This paper presents a 44 years old man electrician was brought by his coworkers to emergency after he had an accident by electrocution to a high voltage current with direct cranial contact point at the vertex. The neurological examination revealed muscle power was 3/5 on right side, with 2nd and 3rd degree burns on his face and scalp.•A cerebral CT scan was performed objectifying an extradural hematoma of the vertex with no sign of trauma the bone structure was intact. This one was surgically evacuated the follow-up was good at first but he developed septic shock which was the cause of his death.•Cerebral bleeding due to electric shock are a rare entity described in the literature, their pathophysiological mechanism is still poorly understood, it is difficult to determine that these lesions are due to an accident of electric shock in real life or due to a head trauma associated.