Cerebro-spinal decompression sickness: report of two cases
Study design: Two case reports. Objective: To describe two unusual cases of deep diving followed by cerebro-spinal decompression sickness (DCS). Setting: Midlands Centre for Spinal Injuries, England. Methods: Observation of the outcome of two different cases of cerebro-spinal DCS, who have received...
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| Veröffentlicht in: | Spinal cord 2007-01, Vol.45 (1), p.116-120 |
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| creator | Jallul, S Osman, A El-Masry, W |
| description | Study design:
Two case reports.
Objective:
To describe two unusual cases of deep diving followed by cerebro-spinal decompression sickness (DCS).
Setting:
Midlands Centre for Spinal Injuries, England.
Methods:
Observation of the outcome of two different cases of cerebro-spinal DCS, who have received two different modalities of treatment.
Results:
The first patient's symptoms developed after he surfaced, he was treated according to the
US Navy treatment table 6
. He also received steroids for almost 3 weeks. His MRI of the brain and spinal cord, which was performed within 24 h of injury did not show any abnormality, while a repeat MRI 3 weeks later revealed abnormal signals in the brain and spinal cord. The second patient's symptoms started before he surfaced, he was treated with
Comex 30 treatment table
for 14 days and received no steroids, his MRI was performed 3 days after the injury showed high signals in the brain and spinal cord.
Conclusion:
Both divers developed cerebro-spinal dysfunction. They had encephalopathy (manifested by loss of consciousness), which indicates bilateral cerebral dysfunction. DCS can occur even when dives are conducted according to the procedures described by the US Navy. The use of high-dose steroids has not been formally tested in DCS; their use is controversial. |
| doi_str_mv | 10.1038/sj.sc.3101923 |
| format | Article |
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Two case reports.
Objective:
To describe two unusual cases of deep diving followed by cerebro-spinal decompression sickness (DCS).
Setting:
Midlands Centre for Spinal Injuries, England.
Methods:
Observation of the outcome of two different cases of cerebro-spinal DCS, who have received two different modalities of treatment.
Results:
The first patient's symptoms developed after he surfaced, he was treated according to the
US Navy treatment table 6
. He also received steroids for almost 3 weeks. His MRI of the brain and spinal cord, which was performed within 24 h of injury did not show any abnormality, while a repeat MRI 3 weeks later revealed abnormal signals in the brain and spinal cord. The second patient's symptoms started before he surfaced, he was treated with
Comex 30 treatment table
for 14 days and received no steroids, his MRI was performed 3 days after the injury showed high signals in the brain and spinal cord.
Conclusion:
Both divers developed cerebro-spinal dysfunction. They had encephalopathy (manifested by loss of consciousness), which indicates bilateral cerebral dysfunction. DCS can occur even when dives are conducted according to the procedures described by the US Navy. The use of high-dose steroids has not been formally tested in DCS; their use is controversial.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sj.sc.3101923</identifier><identifier>PMID: 16568141</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Anatomy ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Brain Diseases - etiology ; Brain Diseases - pathology ; case-report ; Cerebrospinal fluid. Meninges. Spinal cord ; Decompression Sickness - complications ; Decompression Sickness - pathology ; Diving ; Human Physiology ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; Spinal Cord Diseases - etiology ; Spinal Cord Diseases - pathology ; Traumas. Diseases due to physical agents ; Tumors of the nervous system. Phacomatoses</subject><ispartof>Spinal cord, 2007-01, Vol.45 (1), p.116-120</ispartof><rights>Springer Nature Limited 2007</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Jan 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-4e263428368004d5c261ea694e3b5afbed8dac8e8972824a60de2e26b5d1a51a3</citedby><cites>FETCH-LOGICAL-c480t-4e263428368004d5c261ea694e3b5afbed8dac8e8972824a60de2e26b5d1a51a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18562611$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16568141$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jallul, S</creatorcontrib><creatorcontrib>Osman, A</creatorcontrib><creatorcontrib>El-Masry, W</creatorcontrib><title>Cerebro-spinal decompression sickness: report of two cases</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
Two case reports.
Objective:
To describe two unusual cases of deep diving followed by cerebro-spinal decompression sickness (DCS).
Setting:
Midlands Centre for Spinal Injuries, England.
Methods:
Observation of the outcome of two different cases of cerebro-spinal DCS, who have received two different modalities of treatment.
Results:
The first patient's symptoms developed after he surfaced, he was treated according to the
US Navy treatment table 6
. He also received steroids for almost 3 weeks. His MRI of the brain and spinal cord, which was performed within 24 h of injury did not show any abnormality, while a repeat MRI 3 weeks later revealed abnormal signals in the brain and spinal cord. The second patient's symptoms started before he surfaced, he was treated with
Comex 30 treatment table
for 14 days and received no steroids, his MRI was performed 3 days after the injury showed high signals in the brain and spinal cord.
Conclusion:
Both divers developed cerebro-spinal dysfunction. They had encephalopathy (manifested by loss of consciousness), which indicates bilateral cerebral dysfunction. DCS can occur even when dives are conducted according to the procedures described by the US Navy. The use of high-dose steroids has not been formally tested in DCS; their use is controversial.</description><subject>Adult</subject><subject>Anatomy</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Brain Diseases - etiology</subject><subject>Brain Diseases - pathology</subject><subject>case-report</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Decompression Sickness - complications</subject><subject>Decompression Sickness - pathology</subject><subject>Diving</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>Spinal Cord Diseases - etiology</subject><subject>Spinal Cord Diseases - pathology</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Tumors of the nervous system. Phacomatoses</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp90Utr3DAQAGBRUrqbtMceG0whyclbvSzLeytLXrCQS3sWsjwO3ngtR2MT8u-rxW4XCslBaGC-GUkjQr4yumJU6B-4W6FbCUZZwcUHsmQyV2mmuDyJsVA8laIQC3KKuKOUFqzQn8iCqUxpJtmSrDcQoAw-xb7pbJtU4Py-D4DY-C7Bxj11MV4nAXofhsTXyfDiE2cR8DP5WNsW4cu8n5HfN9e_Nnfp9uH2fvNzmzqp6ZBK4EpIroXSlMoqc1wxsKqQIMrM1iVUurJOgy5yrrm0ilbAY02ZVcxmzIozcjX17YN_HgEHs2_QQdvaDvyIpqBSKp5neZSX70qlJc2FYBF-_w_u_Bji-9FwXsi4VBZROiEXPGKA2vSh2dvwahg1h9kb3Bl0Zp599Odz07HcQ3XU87AjuJiBRWfbOtjONXh0On6bYge3mhzGVPcI4Xi7t07-NhV0dhgD_Ov4N_8HkXakIA</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>Jallul, S</creator><creator>Osman, A</creator><creator>El-Masry, W</creator><general>Nature Publishing Group UK</general><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20070101</creationdate><title>Cerebro-spinal decompression sickness: report of two cases</title><author>Jallul, S ; Osman, A ; El-Masry, W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-4e263428368004d5c261ea694e3b5afbed8dac8e8972824a60de2e26b5d1a51a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Anatomy</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Brain Diseases - etiology</topic><topic>Brain Diseases - pathology</topic><topic>case-report</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Decompression Sickness - complications</topic><topic>Decompression Sickness - pathology</topic><topic>Diving</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurochemistry</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>Spinal Cord Diseases - etiology</topic><topic>Spinal Cord Diseases - pathology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Tumors of the nervous system. Phacomatoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jallul, S</creatorcontrib><creatorcontrib>Osman, A</creatorcontrib><creatorcontrib>El-Masry, W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jallul, S</au><au>Osman, A</au><au>El-Masry, W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebro-spinal decompression sickness: report of two cases</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>45</volume><issue>1</issue><spage>116</spage><epage>120</epage><pages>116-120</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
Two case reports.
Objective:
To describe two unusual cases of deep diving followed by cerebro-spinal decompression sickness (DCS).
Setting:
Midlands Centre for Spinal Injuries, England.
Methods:
Observation of the outcome of two different cases of cerebro-spinal DCS, who have received two different modalities of treatment.
Results:
The first patient's symptoms developed after he surfaced, he was treated according to the
US Navy treatment table 6
. He also received steroids for almost 3 weeks. His MRI of the brain and spinal cord, which was performed within 24 h of injury did not show any abnormality, while a repeat MRI 3 weeks later revealed abnormal signals in the brain and spinal cord. The second patient's symptoms started before he surfaced, he was treated with
Comex 30 treatment table
for 14 days and received no steroids, his MRI was performed 3 days after the injury showed high signals in the brain and spinal cord.
Conclusion:
Both divers developed cerebro-spinal dysfunction. They had encephalopathy (manifested by loss of consciousness), which indicates bilateral cerebral dysfunction. DCS can occur even when dives are conducted according to the procedures described by the US Navy. The use of high-dose steroids has not been formally tested in DCS; their use is controversial.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16568141</pmid><doi>10.1038/sj.sc.3101923</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Spinal cord, 2007-01, Vol.45 (1), p.116-120 |
| issn | 1362-4393 1476-5624 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Anatomy Biological and medical sciences Biomedical and Life Sciences Biomedicine Brain Diseases - etiology Brain Diseases - pathology case-report Cerebrospinal fluid. Meninges. Spinal cord Decompression Sickness - complications Decompression Sickness - pathology Diving Human Physiology Humans Injuries of the nervous system and the skull. Diseases due to physical agents Magnetic Resonance Imaging - methods Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurochemistry Neurology Neuropsychology Neurosciences Spinal Cord Diseases - etiology Spinal Cord Diseases - pathology Traumas. Diseases due to physical agents Tumors of the nervous system. Phacomatoses |
| title | Cerebro-spinal decompression sickness: report of two cases |
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