Document Detail

Autonomic nervous system disorders and reflex sympathetic dystrophy in lightning and electrical injuries.
MedLine Citation:
PMID:  8848658     Owner:  NLM     Status:  MEDLINE    
Both lightning and electrical injuries can cause autonomic nervous system (ANS) symptoms and signs (Table 1). Published descriptions of ANS involvement occurring with lightning and electrical injuries are rare. The most often reported neurologic complications of lightning injuries involve the central nervous system. ANS abnormalities have been documented with lightning, although the descriptions are scant. There is a lack of complete clinical information or ANS testing data in these cases. This is usually a result of the transient nature of ANS complications. In electrical injuries, ANS involvement is less well described than for lightning. Electrical injuries can be associated with peripheral nerve damage. As a result of peripheral nerve damage, reflex sympathetic dystrophy (RSD) may occur in patients with electrical injuries. Various treatment strategies for RSD associated with electrical injuries are found in single case reports. This article summarizes ANS involvement, predominantly in lightning injuries, and describes RSD and its treatment, predominantly in electrical injuries.
J A Cohen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in neurology     Volume:  15     ISSN:  0271-8235     ISO Abbreviation:  Semin Neurol     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-10-24     Completed Date:  1996-10-24     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8111343     Medline TA:  Semin Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  387-90     Citation Subset:  IM    
Department of Neurology, University of Colorado Health Sciences Center, Denver 80205, USA.
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MeSH Terms
Autonomic Nervous System Diseases / etiology*
Electric Injuries / complications*,  physiopathology
Lightning Injuries / complications*,  physiopathology
Pain / etiology,  physiopathology
Reflex Sympathetic Dystrophy / etiology*

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