Electrical Injury and Lightning Injury: A Review of Their Mechanisms and Neuropsychological, Psychiatric, and Neurological Sequelae

Exposure to electrical current via industrial or residential accidents or lightning strikes is a serious and growing concern in today's medical community. The sequelae that result are referred to as electrical injury (EI) or lightning injury (LI). The relevant principles in electricity are reviewed with particular attention given to their damaging capabilities on the body. Specific neuropsychological, psychiatric, and neurological signs and symptoms as well as objective measures of psychological and neuropsychological functioning and brain imaging in victims of EI and LI, are reviewed from past research. Important issues relevant to researchers in the field are discussed. Finally, the role that neuropsychology might play in this area is outlined.

[1]  P. Petty,et al.  Electrical injury to the central nervous system. , 1986, Neurosurgery.

[2]  N. Pliskin,et al.  Neuropsychological symptom presentation after electrical injury. , 1998, The Journal of trauma.

[3]  T. Janus,et al.  Neurobehavioral sequelae of high voltage electrical injuries: comparison with traumatic brain injury. , 1996, Applied neuropsychology.

[4]  G. Balis,et al.  Delayed neurologic injury secondary to high-voltage current, with recovery. , 1980, The Journal of trauma.

[5]  M A Cooper,et al.  Emergent Care of Lightning and Electrical Injuries , 1995, Seminars in neurology.

[6]  P. Yarnell,et al.  Neurorehabilitation of Lightning and Electrical Injuries , 1995, Seminars in neurology.

[7]  C. Wilkinson,et al.  High voltage electric injury. , 1978, American journal of surgery.

[8]  A. Benton.  Contributions to Neuropsychological Assessment: A Clinical Manual , 1983 .

[9]  M. Capelli-Schellpfeffer,et al.  Advances in the evaluation and treatment of electrical and thermal injury emergencies , 1994, Proceedings of IEEE Petroleum and Chemical Industry Technical Conference (PCIC '94).

[10]  T. Fujii.  [Electrical injury]. , 1998, Nihon Geka Gakkai zasshi.

[11]  Raphael C. Lee,et al.  Injury by electrical forces: pathophysiology, manifestations, and therapy. , 1997, Current problems in surgery.

[12]  H Hooshmand,et al.  The Neurophysiological Aspects of Electrical Injuries , 1989, Clinical EEG.

[13]  R. Fish.  Electric shock, Part II: Nature and mechanisms of injury. , 1993, The Journal of emergency medicine.

[14]  Christensen Ja,et al.  Delayed neurologic injury secondary to high-voltage current, with recovery. , 1980 .

[15]  L. Sanderson,et al.  An epidemiological description of lightning-related deaths in the United States. , 1990, International journal of epidemiology.

[16]  P. Yarnell,et al.  Lightning strikes: nature of neurological damage in patients evaluated in hospital emergency departments. , 1992, Annals of emergency medicine.

[17]  P. Yarnell,et al.  Neurologic complications of lightning injuries. , 1995, The Western journal of medicine.

[18]  R. Fish.  Electric shock, Part I: Physics and pathophysiology. , 1993, The Journal of emergency medicine.

[19]  R. Astumian,et al.  Biophysical mechanisms of cell membrane damage in electrical shock. , 1995, Seminars in neurology.

[20]  R. Suss,et al.  Intracerebral hematoma secondary to lightning stroke: case report and review of the literature. , 1985, Neurosurgery.

[21]  M. Primeau,et al.  Behavioral Consequences of Lightning and Electrical Injury , 1995, Seminars in neurology.

[22]  D. J. Wainwright,et al.  Posttraumatic stress disorder in electric burn patients. , 1986, The Journal of burn care & rehabilitation.

[23]  Krob Mj,et al.  Lightning injuries: a multisystem trauma. , 1983 .

[24]  J. Barth,et al.  Neuropsychological dysfunction in severe accidental electrical shock: two case reports. , 1997, Applied neuropsychology.

[25]  R. Reitan,et al.  The Halstead-Reitan neuropsychological test battery: Theory and clinical interpretation , 1993 .

[26]  A. Grossman,et al.  Auditory and neuropsychiatric behavior patterns after electrical injury. , 1993, The Journal of burn care & rehabilitation.

[27]  R. H. Ressijac.  High voltage electrical injuries. , 1986, Issues in comprehensive pediatric nursing.

[28]  L. Krach,et al.  Outcome of severe anoxic/ischemic brain injury in children. , 1994, Pediatric neurology.

[29]  J. Hughes.  Electric Shock and Associated Accidents , 1956, British medical journal.

[30]  Burt Cw.  Injury-related visits to hospital emergency departments: United States, 1992. , 1995 .

[31]  N. Varney,et al.  Long-term neuropsychological sequelae of severe burns. , 1998, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[32]  M. Cherington.  Central Nervous System Complications of Lightning and Electrical Injuries , 1995, Seminars in neurology.

[33]  Elisabeth Gourbiere,et al.  Functional Consequence of Electrical Injury , 1994, Annals of the New York Academy of Sciences.

[34]  A. H. van Zomeren,et al.  Lightning stroke and neuropsychological impairment: cases and questions , 1998, Journal of neurology, neurosurgery, and psychiatry.

[35]  R. Fischer,et al.  The natural history of electrical injury. , 1977, The Journal of trauma.

[36]  M. Capelli-Schellpfeffer,et al.  Thermoacoustic Energy Effects in Electrical Arcs , 1999, Annals of the New York Academy of Sciences.

[37]  C. J. Long,et al.  Neuropsychological and emotional consequences of accidental, high-voltage electrical shock , 1985 .

[38]  R. Irwin,et al.  The diagnosis and treatment of cough. , 2000, The New England journal of medicine.

[39]  A Patel,et al.  Electric Injury With Cerebral Venous Thrombosis: Case Report and Review of the Literature , 1993, Stroke.

[40]  J. B. Redford,et al.  Neuromuscular complications following electrical injury — incidence and special problems in rehabilitation , 1991 .

[41]  J. Silversides.  THE NEUROLOGICAL SEQUELAE OF ELECTRICAL INJURY. , 1964, Canadian Medical Association journal.

[42]  A. Starr,et al.  Delayed neurological sequelae of electrical injuries , 1968, Neurology.

[43]  N. Pliskin,et al.  Neuropsychiatric aspects of electrical injury. A review of neuropsychological research. , 1994, Annals of the New York Academy of Sciences.

[44]  J. Moncrief,et al.  Electrical injuries: a review of 65 cases. , 1969, The Journal of trauma.