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Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation.

Authors
  • Andrews, Christopher J1
  • Reisner, Andrew D2
  • 1 Faculty of Medicine - The University of Queensland, Herston, Australia; Lightning and Electrical Injuries, Mt Ommaney Family Practice, Mt Ommaney, Brisbane, Australia. , (Australia)
  • 2 Forensic Diagnostic Center of District Nine, Cambridge, OH, USA.
Type
Published Article
Journal
Neural Regeneration Research
Publisher
Medknow Publications
Publication Date
May 01, 2017
Volume
12
Issue
5
Pages
677–686
Identifiers
DOI: 10.4103/1673-5374.206636
PMID: 28616016
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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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