{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T10:22:56Z","timestamp":1777285376308,"version":"3.51.4"},"reference-count":14,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EBJ"],"abstract":"<jats:p>Electrical burn injuries to the scalp are at risk of extensive tissue damage and neurological complications. We present the case of a patient who came into contact with a high-voltage power line while cherry picking, resulting in a large full-thickness scalp defect. Early on in his presentation, he developed progressive global weakness which remained relatively static during his admission. An incidental finding of an extradural abscess complicated his management, requiring urgent surgical intervention with definitive tissue coverage. The scalp was reconstructed using a free myocutaneous anterolateral thigh flap. There were no postoperative complications. Following rehabilitation, the patient was discharged home with limited functional recovery. He mobilises independently with a wheelchair and requires full-time carers.<\/jats:p>","DOI":"10.3390\/ebj5030027","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T12:22:33Z","timestamp":1725366153000},"page":"288-295","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["High-Voltage Electrical Burn Requiring Urgent Scalp Reconstruction after Developing a Brain Abscess"],"prefix":"10.3390","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6600-346X","authenticated-orcid":false,"given":"Elena","family":"Blyth","sequence":"first","affiliation":[{"name":"The Professor Stuart Pegg Adult Burns Centre, The Royal Brisbane and Women\u2019s Hospital, Brisbane 4029, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Vujcich","sequence":"additional","affiliation":[{"name":"The Professor Stuart Pegg Adult Burns Centre, The Royal Brisbane and Women\u2019s Hospital, Brisbane 4029, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darryl","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, The Royal Brisbane and Women\u2019s Hospital, Brisbane 4029, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e33","DOI":"10.1097\/SAP.0000000000001151","article-title":"Acute-Onset Quadriplegia with Recovery after High-Voltage Electrical Injury","volume":"79","author":"Delgadillo","year":"2017","journal-title":"Ann. Plast. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e12581","DOI":"10.1111\/dth.12581","article-title":"High-voltage electrical injury: Modified surgical technique for optimal defect closuring of extra-large cranial defect","volume":"31","author":"Prodanov","year":"2018","journal-title":"Dermatol. Ther."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"630e","DOI":"10.1097\/PRS.0000000000009452","article-title":"An Algorithm for Reconstruction of Electrical Injuries of the Scalp","volume":"150","author":"Khalid","year":"2022","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_4","unstructured":"Zemaitis, M.R., Foris, L.A., Lopez, R.A., and Huecker, M.R. (2024, March 03). Electrical Injuries [Internet]. Nih.gov. Publishing, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448087\/."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.burns.2004.03.007","article-title":"Delayed spinal cord injury following electrical burns: A 7-year experience","volume":"30","author":"Ko","year":"2004","journal-title":"Burns"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e230","DOI":"10.1097\/BCR.0b013e31829b39b9","article-title":"Electrodiagnostic Study of Peripheral Nerves in High-Voltage Electrical Injury","volume":"35","author":"Kwon","year":"2014","journal-title":"J. Burn. Care Res."},{"key":"ref_7","first-page":"e41479","article-title":"Reconstruction of Scalp and Forehead Defects: Options and Strategies","volume":"15","author":"Krishna","year":"2023","journal-title":"Cureus"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1007\/s13312-021-2229-z","article-title":"Cerebral Abscess: A Delayed Complication of Electrical Burns","volume":"58","author":"Dewan","year":"2021","journal-title":"Indian Pediatr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.fsc.2019.04.005","article-title":"The Critical Role of Nutrition in Facial Plastic Surgery","volume":"27","author":"Bloom","year":"2019","journal-title":"Facial Plast. Surg. Clin. N. Am."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.burnso.2022.09.001","article-title":"Late onset quadriparesis in high voltage electrical burn\u2014A case report","volume":"6","author":"Abebe","year":"2022","journal-title":"Burns Open"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/0305-4179(89)90175-7","article-title":"Delayed neurological sequelae of high-tension electrical burns","volume":"15","author":"Koller","year":"1989","journal-title":"Burns"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/SAP.0000000000001458","article-title":"Reconstruction of Extensive Post\u2013Electric Burn Scalp Defects with Exposed Bones","volume":"81","author":"Jeyakumar","year":"2018","journal-title":"Ann. Plast. 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