Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation.
Faculty of Medicine - The University of Queensland, Herston, Australia; Lightning and Electrical Injuries, Mt Ommaney Family Practice, Mt Ommaney, Brisbane, Australia.
Forensic Diagnostic Center of District Nine, Cambridge, OH, USA.
- Published Article
Neural Regeneration Research
- Publication Date
May 01, 2017
Injuries from lightning and electrical injuries involve multiple systems of the body, however neurological symptoms are very widely reported. A disabling neuropsychological syndrome is also noted. This paper presents a comprehensive review of neurological and neuropsychological symptoms. Partial theories of causation for these injuries have been advanced, however, there is no convincing explanation for both delay in onset of symptoms and also the genesis of the neuropsychological syndrome. A theory of causation is proposed which satisfies both these constraints. This theory suggests circulating hormones such as cortisol, together with nitric oxide and oxidant free radicals from glutamatergic hyper-stimulation, act on tissues remote from the injury path including the hippocampus. This theory opens a research path to explore treatment options.
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This record was last updated on 10/20/2019 and may not reflect the most current and accurate biomedical/scientific data available from NLM.
The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/28616016