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The signs and symptoms of lightning injuries can be mild to severe. They may last for a short time or can be permanent. Hearing or vision loss. Fast or irregular heartbeat, or chest pain. Headache, trouble staying awake, confusion, or dizziness. Shortness of breath. Muscle pain, weakness, stiffness, or temporary paralysis.
Why does lightning strike from the ground-up? The enlightening image below is of a lightning strike slowed down at 10,000 frames per second. It can be seen that the most intense flash produced from the lightening occurs in the direction from the ground up.