Description

A person struck by lightning may have a variety of immediate, acute and chronic complications.


 

Keraunos is Greek for lightning.

 

Immediate:

(1) cardiac arrhythmia with arrest

(2) respiratory paralysis with arrest

(3) transient hyperthermia

(4) paralysis (keraunoparalysis)

 

Acute:

(1) myocardial infarction or necrosis

(2) rhabdomyolysis

(3) hemolysis

(4) acute renal failure (secondary to rhabdomyolysis and hemolysis)

(5) blast injury, including damage to the middle ear

(6) seizures and other transient neurologic dysfunction

(7) vascular thrombosis

(8) DIC

(9) traumatic injury (fracture, head injury)

(10) thermal burn

(11) compartment syndrome

(12) amputation

(13) infection

(14) ocular damage (cataracts, corneal ulceration, iridocyclitis, hyphema, vitreous hemorrhage)

(15) pulmonary edema

(16) intraventricular hemorrhage

 

Chronic:

(1) neuropsychiatric, including post-traumatic stress disorder and keraunoneurosis

(2) long-term neurologic sequelae (autonomic dysfunction, etc.)

 


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