Introduction: Electrical injuries can damage numerous tissues and organs, such as the heart, skin, muscle, kidneys, and vascular and nervous systems. Central nervous system complications that may be seen following exposure to electrical current include myelopathy, encephalopathy, cerebral hemorrhage, ischemia, edema, hydrocephaly, and venous thrombosis. Traumatic brain injury may also develop in these patients. Case: A 48-year-old man fell from a height following high-voltage electrical injury and was intubated in the emergency department. Fractures were present in the pelvis and sacrum. He was intubated and hemodynamically stable. Second-degree burns were observed on approximately 25% of the body. Blood pressure under inotropic support was 62/44. The patient was extubated on the fifth day of hospitalization. However, due to increasing oxygen requirements he was re-intubated on the 8th day. No light reflex was detected on the 15th day of hospitalization. Sedation was stopped. The patient’s Glasgow coma scale (GCS) score was 3. Computed tomography (CT) of the brain was requested and revealed widespread edema. The apnea test result on day 17 of hospitalization of this patient, with a GCS score of 3, was indicative of brain death. No brain stem reflexes were detected. Cranial CT angiography supported brain death, and brain death was declared. Discussion: Electrical injuries are traumas causing damage to several systems and involving high morbidity and mortality. Mortality and morbidity depend on the degree of myocardial necrosis and central nervous system damage and on the extent of secondary multiorgan failure. Loss of consciousness, seizure, emotional alterations, and acute motor and sensory losses may be seen in the early post-injury period. Late period complications include severe conditions such as infarct, hematoma, and cerebral edema, although it has also been suggested that no cause and effect relationship exists. Cerebral edema and brain death in electrical injuries are rare. Patients’ consciousness levels must be closely monitored. [ABSTRACT FROM AUTHOR]