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At least 217 records · Page 12Linked to original sources
PubMed2001

Vestibular signs associated with suspected lightning strike in two horses.

Two previously healthy 14-year-old horses developed right-sided unilateral vestibular signs after they had possibly been struck by lightning. Repeated radiographic and endoscopic evaluations did not reveal any significant changes. A brainstem auditory evoked response test indicated a subtle left to right interaural latency difference of waves I, III and V in the more severely affected pony, but its central conduction time remained normal.

Animals↗
PubMed1985

Lightning-induced myocardial injury. A case report with management.

A young patient of lightning induced myocardial injury with chest pain is described. Electro-cardiogram mimicked true myocardial infarction (due to coronary artery disease). Practical aspects of case management is discussed. Use of short course of steroid helped in early recovery.

Adult↗
PubMed1993

Lightning injury of the tympanic membrane.

A number of cases of otologic injuries by lighting strikes have been described in the otolaryngological literature. The mechanism of these injuries remains uncertain. We report 3 cases of lightning injury that presented to us. Analysis of these cases suggests that the mechanism of injury is direct conduction of electricity from the scalp to the soft tissues of the external auditory canal to the tympanic membrane. The conduits of the electrical surge are the subcutaneous blood vessels, smaller vessels being damaged more than larger vessels. Since the tympanic membrane central vessels are smaller than the canal vessels, the central area of the tympanic membrane would be most vulnerable, and this is seen clinically. A review of the literature supports this proposed mechanism of injury.

Adult↗
PubMedDate not supplied

Ocular complications of lightning.

A 17-year-old female suffered first and second degree facial burns due to a lightning bolt. Retinal stria were noted 48 hours after the accident and a retinal pigment epithelial defect was documented on the third day. A dense posterior subcapsular cataract was present by the 14th week.

Adolescent↗
PubMed1986

Telephone-related lightning injury.

The case of a man who was injured by a stroke of lightning while using the telephone is reported. The patient sustained paralysis, sensory symptoms, otological disturbance and pathognomonic dendriform cutaneous marks (Lichtenberg figures). The relevant literature is reviewed, and the epidemiology and preventive measures are discussed.

Adult↗
PubMedDate not supplied

[Misinterpretation of fetal high voltage and lightning accidents].

From medicolegal practice it is known that in deaths caused by low voltage, electric marks may be absent or inconspicuous so that they may remain undetected during the scene examination. That this may happen even in fatal high-voltage accidents is demonstrated by 4 examples from our own autopsy material. The cases reported shared the following features: The decedents were found outdoors under a high-voltage line with a several metres long conductive object being in the immediate vicinity of the body; no extensive burns as those seen after the impact of an electric arc; inconspicuous electric marks on the hands; clearly visible electrothermal skin lesions limited to body regions covered by clothing (especially soles of the feet). Another case report demonstrates that even fatal lightning accidents are not always recognized correctly.

Accidents, Occupational↗
PubMed1992

Lightning and electrical injuries.

Lightning and electrical injuries are similar in that both produce immediate tissue injury from burn and trauma induced by fall and both can arrest the heart and respiratory center. Immediate support of circulation and respiration is life-saving. Subsequently the nervous system may show signs of injury, and seizures, cerebral edema, and muscle and nerve lesions should be handled as the indications arise. Prevention of the injury is more effective than any postinjury treatment. Outdoors hikers and campers must take shelter to minimize their exposure; indoors properly installed equipment and attention to the relation of the equipment user to the electrical ground are the key elements in avoiding electrocution.

Electric Injuries↗
PubMed2004

MR imaging findings in delayed reversible myelopathy from lightning strike.

Delayed spinal cord injury following high-voltage electrical injury is a rare but well-documented phenomenon. The MR imaging features of this entity, however, have not been well documented. We report the MR imaging findings in a case of delayed sensory and motor deficits following a lightning strike. MR imaging revealed hyperintense signal within the cord on T2-weighted and STIR images extending from C1 to C3. Axial images localized the hyperintense signal to the posterolateral region of the spinal cord bilaterally. Follow-up MR imaging 6 weeks later demonstrated resolution of abnormal cord signal intensity.

Humans↗
PubMed1991

[Deaths in swine by a lightning strike in the sty].

It is reported on deaths of pigs due to lightning stroke in the barn. During a severe thunder storm 11 clinically healthy pigs with an average weight of approx. 22 kg died simultaneously and suddenly in the barn. The animals were kept on a floor of metal slats. The pens were separated by metal bars. A water pipe leading into the barn from outside had contact to the bars. Two pigs were submitted for an examination approx. three hours post mortem. The macroscopic and microscopic necropsy findings are described.

Animals↗
PubMed1989

[Infarct ECG following a lightning accident].

A 17-year-old man was resuscitated after being struck by lightning. The ECG showed a development similar to anterior infarction. The patient died on the 12th day due to irreversible brain damage. Autopsy showed normal myocardium.

Adolescent↗
PubMed1986

[Lightning injury of the ear].

Three cases of auricular fulguration are described and used as a basis for a review of physical characteristics and histopathologic consequences of lightning strikes. Cases are presented and discussed in relation to these fundamental and experimental data.

Audiometry↗
PubMed1977

[Causes of death in lightning strokes (author's transl)].

On the basis of the literature and of their own investigations, including animal experimentation, the authors attempt to show the possible causes of death following lightning strokes. Animal experiments give evidence of the important role of cardiac arrhythmias, in particular of asystolia and ventricular fibrillation. Cardiac arrest, respiratory standstill, burns, fractures, mechanical lesions of internal organs and hemorrhages are stated as causes of death. Moreover, autopsy fails to reveal recognizable changes in some of the victims.

Animals↗
PubMed1979

Lightning: a rare cause of intrauterine death with maternal survival.

Being struck by lightning is frequently a fatal event. Prompt attention to cardiopulmonary resuscitation, even in the patient who appears dead, will often bring dramatic results. In the pregnant patient, one can only hope that rapid restoration of cardiac and pulmonary activity will decrease perinatal mortality.

Female↗
PubMed1978

Creatine phosphokinase isoenzyme fractions in the serum of a patient struck by lightning.

Serial creatine phosphokinase (CPK) isoenzyme determinations were taken in an 8-year-old boy whose being struck by lightning resulted in prolonged cerebral anoxia, inferolateral myocardial infarction and death. All three isoenzyme levels (CPK-MM, CPK-MB, and CPK-BB) were elevated. The CPK-BB isoenzyme level increase was transient, being very high three hours postlightning strike and disappearing at approximately 24 hours.

Brain Injuries↗
PubMed1983

Lightning injuries.

Lightning victims who survive the initial insult can usually be treated conservatively, supportively, and expectantly.

Electric Injuries↗
PubMed1982

Neurologic, psychiatric, and cardiovascular complications in children struck by lightning.

The neurologic changes following lightning injury include coma with cerebral edema, inappropriate secretion of antidiuretic hormone (ADH), seizures, cerebellar ataxia, and painful sensory disturbances. Deteriorating neurologic status may warrant the use of intracranial pressure monitoring devices. Myocardial injury and transient hypertension are generally evident at the onset. Monitoring of the cardiac rhythm may be needed for as long as a week for late onset arrythmia. Abnormalities of memory, mood, and affect noted on recovery of consciousness may persist for months, necessitating close psychiatric and neurlologic follow-up.

Brain Diseases↗
PubMedDate not supplied

[Auricular consequences of lightning (author's transl)].

Auricular accidents provoqued by lightning and induced by telephone are extremely rare. The authors of this paper relate the case of a young lady suffering from an inflammation of the external auditive canal and of an irritation of the tympanic membrane with an perception's hypacusis of 30 db. A physiological explanation is proposed and two factors come into account:--The acoustic traumatism induced by the thunder;--The burn produced by the electrical current.

Adult↗