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

查看全文 作  者:Christopher [1]J.Andrews;Andrew [2]D.Reisner 高影响力作者 机构地区:[1]Faculty of Medicine-The University of Queensland,Herston,Australia,Lightning and Electrical Injuries,Mt Ommaney Family Practice,Mt Ommaney,Brisbane,Australia;[2]Forensic Diagnostic Center of District Nine,Cambridge,OH,USA高影响力机构 出  处:《Neural Regeneration Research》索引2017年第12卷第5期,共10页高影响力期刊 摘  要: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. 关 键 词:electrical injury lightning injury neurology NEUROPSYCHOLOGY NEUROPSYCHIATRY INJURY trauma
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