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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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Series: | Neural Regeneration Research |
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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. |
first_indexed | 2024-12-14T09:36:55Z |
format | Article |
id | doaj.art-c1cf47b16ed14cf5bab74eee0a865cc8 |
institution | Directory Open Access Journal |
issn | 1673-5374 |
language | English |
last_indexed | 2024-12-14T09:36:55Z |
publishDate | 2017-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Neural Regeneration Research |
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 |
work_keys_str_mv | AT christopherjandrews neurologicalandneuropsychologicalconsequencesofelectricalandlightningshockreviewandtheoriesofcausation AT andrewdreisner neurologicalandneuropsychologicalconsequencesofelectricalandlightningshockreviewandtheoriesofcausation |