AbstractAn electrical injury can cause multisystem involvement depending on the type of electrical exposure and the duration of contact. Burns, cardiovascular, renal and central nervous systems involvement are common manifestations post electrical injury. Both immediate and delayed effects of electrocution are known to occur.The central and peripheral nervous system both can be involved in an electrocution injury. Focal neurologic deficits are an uncommon central nervous system manifestation following electrocution. We describe an uncommon consequence of left-sided lower motor neuron facial palsy with a temporal bone fracture in a female child following an electrical injury.