case_images: PMC4392547_01
case_images: Complete flaccid paralysis of right upper limb at day 1 of lightning injury
case_images: SNI-6-110-g001.jpg
case_images: PMC4392547_01_SNI-6-110-g001.jpg
case_images: F1
case_images: On neurologic examination, there was complete loss of all movements with power around all joints being grade 0 in right upper limb [Figure 1].
case_images: MRI Neck showing normal brachial plexus on both sides
case_images: SNI-6-110-g002.jpg
case_images: PMC4392547_01_SNI-6-110-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) neck showed normal brachial plexus with no avulsion or pseudomeningocele formation [Figure 2].
case_images: Post 2nd week following injury and on steroid therapy - Gross improvement in right hand and forearm muscle power
case_images: SNI-6-110-g003.jpg
case_images: PMC4392547_01_SNI-6-110-g003.jpg
case_images: F3
case_images: Abduction at shoulder joint was possible to only 30  [Figure 3].
case_images: Post 4th week - Complete restoration of muscle power in all groups of muscles in right upper limb
case_images: SNI-6-110-g004.jpg
case_images: PMC4392547_01_SNI-6-110-g004.jpg
case_images: F4
case_images: Now he could raise his right arm to full extent, do normal routine activities with his hand, forearm, and arm [Figure 4].