A delayed presentation of an intracranial haemorrhage as the result of a full-thickness electrical brain injury: Illustrative case

Electrical brain injuries are rare and often under-reported, with most documented cases involving secondary mechanical trauma. Isolated electrical injuries to the brain remain poorly characterised. We report a case of 2-year-old girl who sustained an isolated full-thickness electrical brain injury without associated mechanical trauma. Clinical findings, neuroimaging, and surgical management were reviewed to highlight the progression and complications observed. This report aims to describe the delayed sequelae, pathophysiology, and management challenges of a full-thickness electrical brain injury in a child, and illustrates the complex and delayed pathophysiology of electrical brain injuries, in which venous thromboembolic mechanisms may contribute to secondary deterioration. Aggressive debridement of ischemic tissue during surgical intervention may improve wound healing and overall outcomes.