[Neurological symptoms following lightening strike].

A 56-year-old man was referred to the neurological outpatients' department suffering from problems with walking and painful, burning feet after having been struck by lightning 6 months previously. He also experienced orthostatic symptoms and episodes of 'flushing' and was unable to tolerate contact with clothing or bed sheets on his lower legs or feet. After excluding other possible causes, the patient was diagnosed with 'polyneuropathy due to lightning strike'.

Relation of N-terminal pro B-type natriuretic peptide levels after symptom-limited exercise to baseline and ischemia levels.

Circulating levels of B-type natriuretic peptide (BNP) and the amino-terminal portion of the prohormone (NT-proBNP) have been reported to increase immediately after myocardial ischemia. The association between extent of exercise-induced myocardial ischemia measured using myocardial perfusion scintigraphy and the magnitude and time course of changes in NT-proBNP was studied. One hundred one patients underwent symptom-limited exercise myocardial perfusion scintigraphy.