• Clin. Auton. Res. · Aug 2013

    Case Reports

    Central hyperadrenergic state after lightning strike.

    • Ajay K Parsaik, J Eric Ahlskog, Wolfgang Singer, Russell Gelfman, Seth H Sheldon, Richard J Seime, Jennifer M Craft, Jeffrey P Staab, Birgit Kantor, and Phillip A Low.
    • Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
    • Clin. Auton. Res. 2013 Aug 1; 23 (4): 169-73.

    ObjectiveTo describe and review autonomic complications of lightning strike.MethodsCase report and laboratory data including autonomic function tests in a subject who was struck by lightning.ResultsA 24-year-old man was struck by lightning. Following that, he developed dysautonomia, with persistent inappropriate sinus tachycardia and autonomic storms, as well as posttraumatic stress disorder (PTSD) and functional neurologic problems.InterpretationThe combination of persistent sinus tachycardia and episodic exacerbations associated with hypertension, diaphoresis, and agitation was highly suggestive of a central hyperadrenergic state with superimposed autonomic storms. Whether the additional PTSD and functional neurologic deficits were due to a direct effect of the lightning strike on the central nervous system or a secondary response is open to speculation.

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