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Neuropsychological changes following electrical injury

Published online by Cambridge University Press:  23 January 2006

NEIL H. PLISKIN ,
ALIA N. AMMAR ,
JOSEPH W. FINK ,
S. KRISTIAN HILL ,
AARON C. MALINA ,
ALONA RAMATI ,
KATHLEEN M. KELLEY  and
RAPHAEL C. LEE
NEIL H. PLISKIN
Affiliation:
Chicago Electrical Trauma Research Program, University of Illinois College of Medicine, Chicago, Illinois
ALIA N. AMMAR
Affiliation:
Chicago Electrical Trauma Research Program, University of Illinois College of Medicine, Chicago, Illinois
JOSEPH W. FINK
Affiliation:
University of Chicago Pritzker School of Medicine, Chicago, Illinois
S. KRISTIAN HILL
Affiliation:
Chicago Electrical Trauma Research Program, University of Illinois College of Medicine, Chicago, Illinois
AARON C. MALINA
Affiliation:
Evanston Northwestern Health Care System, Chicago, Illinois
ALONA RAMATI
Affiliation:
Chicago Electrical Trauma Research Program, University of Illinois College of Medicine, Chicago, Illinois
KATHLEEN M. KELLEY
Affiliation:
Chicago Electrical Trauma Research Program, University of Illinois College of Medicine, Chicago, Illinois
RAPHAEL C. LEE
Affiliation:
University of Chicago Pritzker School of Medicine, Chicago, Illinois
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Abstract

The clinical presentation of electrical injury commonly involves physical, cognitive, and emotional complaints. Neuropsychological studies, including case reports, have indicated that electrical injury (EI) survivors may experience a broad range of impaired neuropsychological functions, although this has not been clarified through controlled investigation. In this study, we describe the neuropsychological test findings in a series of 29 EI patients carefully screened and matched to a group of 29 demographically similar healthy electricians. Participants were matched by their estimated premorbid intellectual ability. Multivariate analysis of variance was used to assess group differences in the following neuropsychological domains: attention and mental speed, working memory, verbal memory, visual memory, and motor skills. EI patients performed significantly worse on composite measures of attention/mental speed and motor skills, which could not be explained by demographic differences, injury parameters, litigation status, or mood disturbance. Results suggest that cognitive changes do occur in patients suffering from electrical injury. (JINS, 2006, 12, 17–23.)

Keywords

Electric shockCognitivePsychiatricAssessmentTraumaLitigation
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 12 , Issue 1 , January 2006 , pp. 17 - 23
Copyright
© 2006 The International Neuropsychological Society

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References

REFERENCES

Barrash, J., Kealey, G.P., & Janus, T.J. (1996). Neurobehavioral sequelae of high voltage electrical injuries: Comparison with traumatic brain injury. Applied Neuropsychology, 31, 75–81.Google Scholar
Beck, A.T. (1987). Cognitive models of depression. The Journal of Cognitive Psychotherapy: An International Quarterly, 1, 5–37.Google Scholar
Censits, D.M., Ragland, J.D., Gur, R.C., & Gur, R.E. (1997). Neuropsychological evidence supporting a neurodevelopmental model of schizophrenia: A longitudinal study. Schizophrenia Research, 24, 289–298.Google Scholar
Chanpattana, W., Somchai Chakrabhand, M.L., Buppanharun, W., & Sakeim, H.A. (2000). Effects of stimulus intensity on the efficacy of bilateral ECT in schizophrenia: A preliminary study. Biological Psychiatry, 48, 222–228.Google Scholar
Coffey, C.E., Figiel, G.S., Djang, W.T., Sullivan, D.C., Herfkens, R.J., & Weiner, R.D. (1988). Effects of ECT on brain structure: A pilot MRI study. American Journal of Psychiatry, 145, 701–706.Google Scholar
Coffey, C.E., Weiner, R.D., Djang, W.T., Figiel, G.S., Soady, S.A., Patterson, L.J., Holt, P.D., Spritzer, C.E., & Wilkinson, W.E. (1991). Brain anatomic effects of ECT: A prospective MRI study. Archives of General Psychiatry, 48, 1013–1021.Google Scholar
Crews, W.D., Barth, J.T., Brelsford, T.N., Francis, J.P., & McArdle, P.A. (1997). Neuropsychological dysfunction in severe accidental electrical shock: Two case reports. Applied Neuropsychology, 4, 208–219.Google Scholar
Daniel, M., Haban, G.G., Hutcherson, W.L., Bolter, J., & Long, C. (1985). Neuropsychological and emotional consequences of accidental, high-voltage electrical shock. The International Journal of Clinical Neuropsychology, 7, 102–106.Google Scholar
Duff, K. & McCaffrey, R.J. (2001). Electrical injury and lightning: A review of their mechanisms and neuropsychological, psychiatric and neurological sequelae. Neuropsychology Review, 11, 101–116.CrossRefGoogle Scholar
Fink, M. (2001). Convulsive therapy: A review of the first 55 years. Journal of Affective Disorders, 63, 1–15.Google Scholar
Grossman, A.R., Temperaeu, C.E., Brones, M.F., Kulber, H.S., & Pembrook, L.J. (1993). Auditory and neuropsychiatric behavior patterns after electrical injury. Journal of Burn Care and Rehabilitation, 14, 169–175.Google Scholar
Grube, B.J. & Heimbach, D.M. (1992). Acute and delayed neurological sequelae of electrical injury. In R.C. Lee, E.G. Cravalho, & J.F. Burke (Eds.), Electrical trauma, the pathophysiology, manifestations and clinical management. Cambridge, UK: Cambridge University Press.
Hooshmand, H., Radfar, F., & Beckner, E. (1989). The neurophysiological aspects of electrical injuries. Clinical Electroencephalography, 20, 111–120.Google Scholar
Hopewell, C.A. (1983). Serial neuropsychological assessment in a case of reversible electrocution encephalopathy. Clinical Neuropsychology, 5, 61–65.Google Scholar
Ishihara, K. & Sasa, M. (1999). Mechanism underlying the therapeutic effects of ECT on depression. Japanese Journal of Pharmacology, 80, 185–189.Google Scholar
Johansson, B. (1987). Electrical membrane breakdown: A possible mediator of the actions of electroconvulsive therapy. Medical Hypotheses, 24, 313–324.Google Scholar
Kelley, K.M., Pliskin, N., Meyer, G., & Lee, R.C. (1994). Neuropsychiatric aspects of electrical injury: The nature of psychiatric disturbance. Annals New York Academy of Sciences, 720, 213–218.Google Scholar
Kelley, K.M., Tkachencko, T.A., Pliskin, N.H., Fink, J.W., & Lee, R.C. (1999). Life after electrical injury: Risk for psychiatric sequelae. Annals of the New York Academy of Sciences, 888, 356–363.Google Scholar
Kim, C. & Bryant, P. (2001). Complex regional pain syndrome (type I) after electrical injury: A case report of treatment with continuous epidural block. Archives of Physical Medicine and Rehabilitation, 82, 993–995.Google Scholar
Mancusi-Ungaro, H.R., Tarbox, A.R., & Wainwright, D.J. (1986). Posttraumatic stress disorder in electric burn patients. The Journal of Burn Care & Rehabilitation, 7, 521–525.Google Scholar
Martin, T.A., Salvatore, N.F., & Johnstone, B. (2003). Cognitive decline over time following electrical injury. Brain Injury, 17, 817–823.Google Scholar
Mathias, C.W., Greve, K.W., Bianchini, K.J., Houston, R.J., & Crouch, J.A. (2002). Assessment, 9, 301–308.
McCracken, L. & Iverson, G. (2001). Predicting complaints of impaired cognitive functioning in patients with chronic pain. Journal of Pain Symptom Management, 21, 392–396.Google Scholar
Miller, L. (1993). Toxic torts: Clinical, neuropsychological and forensic aspects of chemical and electrical injuries. The Journal of Cognitive Rehabilitation, 11, 6–17.Google Scholar
Pliskin, N.H., Capelli-Schellpfeffer, M., Law, R.T., Malina, A.C., Kelley, K.M., & Lee, R.C. (1998). Neuropsychological symptom presentation after electrical injury. Journal of Trauma: Injury, Infection, and Critical Care, 44, 709–715.CrossRefGoogle Scholar
Pliskin, N., Fink, J., Malina, A., Moran, S., Kelley, K., Capelli-Schellpfeffer, M., & Lee, R.C. (1999). The neuropsychological effects of electrical injury. Annals New York Academy of Sciences, 888, 140–149.Google Scholar
Primeau, M., Engelstatter, G.H., & Bares K.K. (1995). Behavioral consequences of lightning and electrical injury. Seminars in Neurology, 15, 279–285.CrossRefGoogle Scholar
Rami-Gonzales, L., Salamero, M., Boget, T., Catalan, R., Ferrer, J., & Bernardo, M. (2003). Patterns of cognitive dysfunction in patients during maintenance electroconvulsive therapy. Psychological Medicine, 32, 345–350.Google Scholar
Rey, A. (1964). L'examen clinique en psychologie [The clinical examination in psychology]. Paris: Presses Universitaires de France.
Rosen, Y., Reznik, I., Sluvis, A., Kaplan, D., & Mester, R. (2003). The significance of the nitric oxide in electro-convulsive therapy: A proposed neurophysiological mechanism. Medical Hypotheses, 60, 424–429.Google Scholar
Sackeim, H.A. (1994). Central issues regarding the mechanisms of action of electroconvulsive therapy: Directions for future research. Neuropsychology Bulletin, 30, 281–308.Google Scholar
Sahiner, T., Kurt, T., Sinan Bir, L., Guzhanoglu, A.O.Akalin, O., Celiker A., & Ozdemir, F. (2002). Reversible hyperintense T2 MRI lesions of basal ganglia after an electrical injury. Burns, 28, 607–608.Google Scholar
Saykin, A., Shtasel, D., Gur, R.E., Kester, D., Mozley, L., Stafiniak, P., & Gur, R.C. (1994). Neuropsychological deficits in neuroleptic naïve patients with first-episode schizophrenia. Archives of General Psychiatry, 51, 124–131.Google Scholar
Slick, D.J., Hopp, G., Strauss, E., & Spellacy, F.J. (1996). Victoria Symptom Validity Test: Efficiency for detecting feigned memory impairment and relationship to neuropsychological tests and MMPI-2 validity scales. Journal of Clinical and Experimental Neuropsychology, 18, 911–922.CrossRefGoogle Scholar