TY - JOUR PY - 2007// TI - A lightning strike to the head causing a visual cortex defect with simple and complex visual hallucinations JO - Journal of neurology, neurosurgery, and psychiatry A1 - Kleiter, Ingo A1 - Luerding, Ralf A1 - Diendorfer, Gerhard A1 - Rek, Helga A1 - Bogdahn, Ulrich A1 - Schalke, Berthold SP - 423 EP - 426 VL - 78 IS - 4 N2 - 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 set to a drug-induced coma for 3 days. After extubation, she experienced simple and complex visual hallucinations for several days, but otherwise recovered largely. 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. Four 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 flash were retrospectively retraced.

Language: en

LA - en SN - 0022-3050 UR - http://dx.doi.org/10.1136/jnnp.2006.097642 ID - ref1 ER -