{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T18:27:57Z","timestamp":1758479277599,"version":"3.40.4"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>The case of a 23-year-old mountaineer who was hit by a lightning strike to the occiput causing a large central visual field defect and bilateral tympanic membrane ruptures is described. Owing to extreme agitation, the patient was sent into a drug-induced coma for 3 days. After extubation, she experienced simple and complex visual hallucinations for several days, but otherwise largely recovered. Neuropsychological tests revealed deficits in fast visual detection tasks and non-verbal learning and indicated a right temporal lobe dysfunction, consistent with a right temporal focus on electroencephalography. At 4 months after the accident, she developed a psychological reaction consisting of nightmares, with reappearance of the complex visual hallucinations and a depressive syndrome. Using the European Cooperation for Lightning Detection network, a meteorological system for lightning surveillance, the exact geographical location and nature of the lightning strike were retrospectively retraced<\/jats:p>","DOI":"10.1136\/bcr.06.2009.2008","type":"journal-article","created":{"date-parts":[[2009,7,8]],"date-time":"2009-07-08T02:24:24Z","timestamp":1247019864000},"page":"bcr0620092008","source":"Crossref","is-referenced-by-count":1,"title":["A lightning strike to the head causing a visual cortex defect with simple and complex visual hallucinations"],"prefix":"10.1136","volume":"2009","author":[{"given":"Ingo","family":"Kleiter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralf","family":"Luerding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerhard","family":"Diendorfer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helga","family":"Rek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Bogdahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berthold","family":"Schalke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2009,7,7]]},"reference":[{"key":"2025042508051226000_2009.jul07_1.bcr0620092008.1","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1212\/WNL.48.3.683","article-title":"A bolt from the blue: lightning strike to the head","volume":"48","author":"Cherington","year":"1997","journal-title":"Neurology"},{"key":"2025042508051226000_2009.jul07_1.bcr0620092008.2","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000033801.15204.B5"},{"key":"2025042508051226000_2009.jul07_1.bcr0620092008.3","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/121.10.1819"},{"key":"2025042508051226000_2009.jul07_1.bcr0620092008.4","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.48.1.29"},{"key":"2025042508051226000_2009.jul07_1.bcr0620092008.5","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/99.4.719"},{"key":"2025042508051226000_2009.jul07_1.bcr0620092008.6","unstructured":"Tewes U . 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