[abstract] MAGNETIC RESONANCE IMAGING IN DIVING-RELATED DECOMPRESSION ILLNESS.

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[abstract] MAGNETIC RESONANCE IMAGING IN DIVING-RELATED DECOMPRESSION ILLNESS.

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Title: [abstract] MAGNETIC RESONANCE IMAGING IN DIVING-RELATED DECOMPRESSION ILLNESS.
Author: Tetzlaff, K; Reuter, M; Hutzelmann, A; Bettinghausen, E; Heller, M
Abstract: BACKGROUND: Neuroimaging is commonly performed in patients with decompression illness (DCI), although computed tomography (CT) and magnetic resonance imaging (MRI) studies in the past revealed a low percentage of positive brain/spinal cord findings. MRI studies are rare and the value of this technique in diagnosis of DCI is still under debate. The purpose of our study was to evaluate the place of MRI in the neurological assessment of diving related to DCI. METHODS: 16 patients with clinical diagnosis of DCI (being referred to the Naval Medical Institute 1990-1996), of whom 8 suffered arterial gas embolism (AGE) and 8 neurologic decompression sickness (DCS II), respectively, underwent MRI of the brain (n = 16), and of spinal cord (n = 7). MRI findings were compared with clinical neurologic outcome. RESULTS: There were focal lesions in 6/8 patients with AGE, and hyperintensities in 2/8 patients with DCS. Only one out of seven cases revealed a spinal cord lesion. The neurologic symptoms correlated well with the specific MRI findings. CONCLUSION: Sensitivity of MRI in DCI patients may depend on the etiology of decompression injury (AGE vs. DCS). MRI seems to be helpful in diagnosis and follow up examination of DCI, but a negative MRI may not exclude DCI.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/373
Date: 1997

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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