Neurological signs and symptoms in the acute stage
| Patient | ||||||
|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | |
| LOC | 1.5 h | Minutes | Minutes | Minutes | 3 minutes | 9 days |
| Cardiac arrest | No | No | No? | No | Minutes | Minutes |
| Respiratory arrest | No | No | No? | No | ? | ? |
| Amnesia | 4–5 h | 10 minutes | 10–15 minutes | Minutes | 8 h | Months |
| Signs + symptoms | Conjunctivitis L eye | Keraunoparalysis for 1.5 h | Pain in R side of body | Conjunctivitis both eyes | Vomiting | Coma |
| Hearing impaired | Unable to speak | R leg numb, unable to stand | Headache | Epileptic insult with myoclonus R side of body | ||
| Afterwards complete hypotonia and areflexia on R side | ||||||
| CT | — | — | — | — | — | Haematoma in L thalamic region |
| EEG | 2 months after LS: paroxysmal dysregulation over L temporal region | 2 months after LS: diffusely slow, good reactivity, no focal signs | — | — | — | 1 day after LS: severely disturbed triphasic waves over L fronto-temporal region. Very slow background activity. 9 days after LS: low voltage theta and delta over L hemisphere |
LS = Lightning stroke.