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

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 the...

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Main Authors: Christopher J Andrews, Andrew D Reisner
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Neural Regeneration Research
Subjects:
Online Access:http://www.nrronline.org/article.asp?issn=1673-5374;year=2017;volume=12;issue=5;spage=677;epage=686;aulast=Andrews
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author Christopher J Andrews
Andrew D Reisner
author_facet Christopher J Andrews
Andrew D Reisner
author_sort Christopher J Andrews
collection DOAJ
description 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 ofcausation 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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spelling doaj.art-c1cf47b16ed14cf5bab74eee0a865cc82022-12-21T23:07:54ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53742017-01-0112567768610.4103/1673-5374.206636Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causationChristopher J AndrewsAndrew D ReisnerInjuries 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 ofcausation 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.http://www.nrronline.org/article.asp?issn=1673-5374;year=2017;volume=12;issue=5;spage=677;epage=686;aulast=Andrewselectrical injury; lightning injury; neurology; neuropsychology; neuropsychiatry; injury; trauma
spellingShingle Christopher J Andrews
Andrew D Reisner
Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation
Neural Regeneration Research
electrical injury; lightning injury; neurology; neuropsychology; neuropsychiatry; injury; trauma
title Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation
title_full Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation
title_fullStr Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation
title_full_unstemmed Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation
title_short Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation
title_sort neurological and neuropsychological consequences of electrical and lightning shock review and theories of causation
topic electrical injury; lightning injury; neurology; neuropsychology; neuropsychiatry; injury; trauma
url http://www.nrronline.org/article.asp?issn=1673-5374;year=2017;volume=12;issue=5;spage=677;epage=686;aulast=Andrews
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AT andrewdreisner neurologicalandneuropsychologicalconsequencesofelectricalandlightningshockreviewandtheoriesofcausation