{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T03:59:27Z","timestamp":1770177567701,"version":"3.49.0"},"reference-count":27,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JRM-CC"],"abstract":"<jats:p>Objective: To describe a case of paraparesis caused by both peripheral neuropathy and spinal cord injury following a lightning strike, highlighting imaging findings and neurophysiological results to improve understanding and management.\nDesign: A case report.\nPatient: A 29-year-old male without significant medical or surgical history, struck by lightning.\nMethods: Neurological evaluation, imaging of the spinal cord, electromyography studies, and somatosensory evoked potential assessments were performed. Imaging findings and peripheral nerve evaluations were compared to the existing literature on lightning-related injuries.\nResults: Spinal cord imaging showed hyperintensities with a quadrifocal white matter involvement. Neurophysiological study revealed peripheral motor impairment.\nConclusion: This case documents paraparesis resulting from both central and peripheral nervous system damage following a lightning strike. Unique spinal cord imaging results and neurophysiological studies contribute to the understanding of nerve damage mechanisms. Given the increasing frequency of lightning strikes, these findings may help refining clinical management and patient education strategies.<\/jats:p>","DOI":"10.2340\/jrm-cc.v8.42545","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T02:06:10Z","timestamp":1743559570000},"page":"jrmcc42545","source":"Crossref","is-referenced-by-count":0,"title":["Paraparesis following peripheral and central nervous system lesions after a lightning strike \u2013 a case report"],"prefix":"10.2340","volume":"8","author":[{"given":"Zo\u00e9","family":"Moyaux","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Ciravegna Fonseca De Melo Bandeira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Idil","family":"Gunes Tatar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gautier","family":"Randour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathilde","family":"Massardier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Van Pesch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Lejeune","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1183","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"105512","unstructured":"Holle RL. Lightning fatalities in tropical and subtropical regions. 29th Conference on Hurricanes and Tropical Meteorology. Oro Valley, AS, USA. 13 May 2010."},{"key":"105513","doi-asserted-by":"crossref","unstructured":"Cherington M. Neurologic manifestations of lightning strikes. Neurology 2003; 60: 182\u2013185.","DOI":"10.1212\/01.WNL.0000033801.15204.B5"},{"key":"105514","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1212\/01.WNL.0000033801.15204.B5","DOI":"10.1212\/01.WNL.0000033801.15204.B5"},{"key":"105515","doi-asserted-by":"crossref","unstructured":"Morin A, Lesourd A, Cabane J. Lightning strike and lesions outside the brain: clinical cases and a review of the literature. Rev Neurol (Paris) 2015; 171: 75\u201380.","DOI":"10.1016\/j.neurol.2014.08.001"},{"key":"105516","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.neurol.2014.08.001","DOI":"10.1016\/j.neurol.2014.08.001"},{"key":"105517","doi-asserted-by":"crossref","unstructured":"Hawkins E, Gostigian G, Diurba S. Lightning strike injuries. Emerg Med Clin North Am 2024; 42: 667\u2013678.","DOI":"10.1016\/j.emc.2024.02.021"},{"key":"105518","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.emc.2024.02.021","DOI":"10.1016\/j.emc.2024.02.021"},{"key":"105519","doi-asserted-by":"crossref","unstructured":"Romps DM, Seeley JT, Vollaro D, Molinari J. Projected increase in lightning strikes in the united states due to global warming. Science 2014; 346: 851\u2013854.","DOI":"10.1126\/science.1259100"},{"key":"105520","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1126\/science.1259100","DOI":"10.1126\/science.1259100"},{"key":"105521","doi-asserted-by":"crossref","unstructured":"Lindford A, Vuola J, Kankuri E. Resuscitated unconscious male: Lichtenberg\u2019s sign lighting the way. Intens Care Med 2017; 43: 1148\u20131149.","DOI":"10.1007\/s00134-017-4765-5"},{"key":"105522","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1007\/s00134-017-4765-5","DOI":"10.1007\/s00134-017-4765-5"},{"key":"105523","doi-asserted-by":"crossref","unstructured":"Schmidhauser T, Azzola A. Images in clinical medicine \u2013 Lichtenberg figures. N Engl J Med 2011; 365: 22204736.","DOI":"10.1056\/NEJMicm1106008"},{"key":"105524","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1056\/NEJMicm1106008","DOI":"10.1056\/NEJMicm1106008"},{"key":"105525","doi-asserted-by":"crossref","unstructured":"Domart Y, Garet M. Images in clinical medicine \u2013 Lichtenberg figures due to a lightning strike. N Engl J Med 2000; 343: 1536.","DOI":"10.1056\/NEJM200011233432105"},{"key":"105526","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1056\/NEJM200011233432105","DOI":"10.1056\/NEJM200011233432105"},{"key":"105527","doi-asserted-by":"crossref","unstructured":"Cherington M, Vervalin C. Lightning injuries \u2013 who is at greatest risk? Physician Sportsmed 1990; 18: 59\u201361.","DOI":"10.1080\/00913847.1990.11710113"},{"key":"105528","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1080\/00913847.1990.11710113","DOI":"10.1080\/00913847.1990.11710113"},{"key":"105529","doi-asserted-by":"crossref","unstructured":"Wilbourn A. Peripheral nerve disorders in electrical and lightning injuries. Semin Neurol 1995; 15: 241\u2013255.","DOI":"10.1055\/s-2008-1041029"},{"key":"105530","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1055\/s-2008-1041029","DOI":"10.1055\/s-2008-1041029"},{"key":"105531","doi-asserted-by":"crossref","unstructured":"Sharma M, Smith A. Paraplegia as a result of lightning injury. Br Med J 1978; 2: 1464\u20131465.","DOI":"10.1136\/bmj.2.6150.1464-a"},{"key":"105532","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1136\/bmj.2.6150.1464-a","DOI":"10.1136\/bmj.2.6150.1464-a"},{"key":"105533","doi-asserted-by":"crossref","unstructured":"Lakshminarayanan S, Chokroverty S, Eshkar N, Grewal R. The spinal cord in lightning injury: a report of two cases. J Neurol Sci 2009; 276: 199\u2013201.","DOI":"10.1016\/j.jns.2008.09.020"},{"key":"105534","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.jns.2008.09.020","DOI":"10.1016\/j.jns.2008.09.020"},{"key":"105535","doi-asserted-by":"crossref","unstructured":"Hawkes CH, Thorpe JW, Hawkes D. Acute polyneuropathy due to lightning injury. J Neurol Neurosurg Psychiatry 1992; 55: 388\u2013390.","DOI":"10.1136\/jnnp.55.5.388"},{"key":"105536","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1136\/jnnp.55.5.388","DOI":"10.1136\/jnnp.55.5.388"},{"key":"105537","doi-asserted-by":"crossref","unstructured":"Ritenour AE, Morton MJ, McManus JG, Barillo DJ, Cancio LC. Lightning injury: a review. Burns 2008; 34: 585\u2013594.","DOI":"10.1016\/j.burns.2007.11.006"},{"key":"105538","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.burns.2007.11.006","DOI":"10.1016\/j.burns.2007.11.006"}],"container-title":["Journal of Rehabilitation Medicine - Clinical Communications"],"original-title":[],"link":[{"URL":"https:\/\/medicaljournalssweden.se\/jrm-cc\/article\/download\/42545\/49705","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicaljournalssweden.se\/jrm-cc\/article\/download\/42545\/49705","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T14:20:01Z","timestamp":1770128401000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicaljournals.se\/jrm\/content\/abstract\/10.2340\/jrm-cc.v8.42545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,1]]},"references-count":27,"URL":"https:\/\/doi.org\/10.2340\/jrm-cc.v8.42545","relation":{},"ISSN":["2003-0711"],"issn-type":[{"value":"2003-0711","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,1]]}}}