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Spinal cord imaging after lightning strike injury

Spinal cord MRI 4 days after a lightning-strike injury revealed a linear hyperintensity on short tau inversion recovery (STIR) (A) and sagittal T2-weighted (B) sequences in the conus medullaris, extending approximately 5 cm from T11/T12 to L2. (C) MRI axial T2-weighted image showed focal hyperintensities in a quadrifocal topography of the peripheric white matter in the conus medullaris. (D, E) Follow-up spinal cord MRI sagittal STIR (D) and MRI sagittal T2 (E) 15 days after the lightning-strike injury demonstrated complete resolution of previously observed signal abnormalities, with no further anomalies identified. (From: Moyaux Z, De Melo Bandeira MCF, Gunes Tatar I, Randour G, Massardier M, Van Pesch V, Lejeune T. Paraparesis following peripheral and central nervous system lesions after a lightning strike - a case report. J Rehabil Med Clin Commun. 2025;8:42545. Creative Commons Attribution 4.0 International [CC BY 4.0] license, creativecommons.org/licenses/by/4.0.)