PMC4392547_01
Complete flaccid paralysis of right upper limb at day 1 of lightning injury
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F1
On neurologic examination, there was complete loss of all movements with power around all joints being grade 0 in right upper limb [Figure 1].
MRI Neck showing normal brachial plexus on both sides
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F2
Magnetic resonance imaging (MRI) neck showed normal brachial plexus with no avulsion or pseudomeningocele formation [Figure 2].
Post 2nd week following injury and on steroid therapy - Gross improvement in right hand and forearm muscle power
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F3
Abduction at shoulder joint was possible to only 30  [Figure 3].
Post 4th week - Complete restoration of muscle power in all groups of muscles in right upper limb
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F4
Now he could raise his right arm to full extent, do normal routine activities with his hand, forearm, and arm [Figure 4].