Affiliations: [a] The Lightning Data Center, Saint Anthony Hospital, Denver, CO, USA | [b] Craig Hospital, Englewood, CO, USA | [c] The Department of Rehabilitation Medicine, University of Colorado Health Sciences Center, Denver, CO, USA | Lightning Data Center, St. Anthony Hospital, 4231 W. 16th Avenue, Denver, CO 80204, USA. Tel.: +1 303 629 4258; Fax: +1 303 629 4438; E-mail: Lightningdatacenter@Centura.org
Correspondence:
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Address for correspondence: Daniel P. Lammertse, MD, Medical Director, Craig Hospital, 3425 South Clarkson Street, Englewood, CO 80113, USA. Tel.: +1 303 789 8220; Fax: +1 303 789 8470; E-mail: dlammertse@craighospital.org
Abstract: While spinal cord injuries caused by lightning strike or electrical shock are rare, their clinical manifestations pose unique challenges to the clinician who must anticipate the interaction of multiple system involvement with the altered physiology of spinal cord injury. Spinal cord damage may be secondary to the direct effects of electrical current passing through neural tissue producing immediate or delayed impairment. Alternatively, lightning strike and electrical shock may lead to spinal cord damage due to the secondary consequences of injury such as spinal fractures sustained after a fall. In addition to effects on the spinal cord, electrical trauma may result in injury to the brain, peripheral nervous system, musculoskeletal system, skin, and cardiovascular system. This article will review the neurorehabilitation approach to this rare and challenging group of patients.
