Looks like a tattoo?! ⚡️Unlike high voltage electrical injuries with which massive internal tissue damage may occur, lightning seldom causes substantial burns. Lightning tends to cause nervous system injury and may affect any or all parts of the nervous system. If the brain is affected, the result is often difficulty with short term memory.Coding new information, accessing old information, slower reaction time, intense headaches, ringing in the ears, depression, seizures and personality changes can occur among many other immediate symptoms and long term symptoms. The primary cause of death from lightning is cardiac arrest.