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

Andrews, Christopher J. and Reisner, Andrew D. (2017) Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation. Neural Regeneration Research, 12 5: 677-686. doi:10.4103/1673-5374.206636


Author Andrews, Christopher J.
Reisner, Andrew D.
Title Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation
Journal name Neural Regeneration Research   Check publisher's open access policy
ISSN 1876-7958
1673-5374
Publication date 2017-06-01
Year available 2017
Sub-type Critical review of research, literature review, critical commentary
DOI 10.4103/1673-5374.206636
Open Access Status DOI
Volume 12
Issue 5
Start page 677
End page 686
Total pages 10
Place of publication Mumbai, Maharastra, India
Publisher Medknow Publications and Media
Language eng
Subject 2806 Developmental Neuroscience
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.
Keyword Electrical injury
Injury
Lightning injury
Neurology
Neuropsychiatry
Neuropsychology
Trauma
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
School of Medicine Publications
 
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