[abstract] OXYHELIUM TREATMENT FOR REFRACTORY NEUROLOGICAL DECOMPRESSION SICKNESS.

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[abstract] OXYHELIUM TREATMENT FOR REFRACTORY NEUROLOGICAL DECOMPRESSION SICKNESS.

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Title: [abstract] OXYHELIUM TREATMENT FOR REFRACTORY NEUROLOGICAL DECOMPRESSION SICKNESS.
Author: Goldenberg, I; Shupak, A; Shoshani, O
Abstract: BACKGROUND: Oxyhelium recompression therapy for neurological decompression sickness (NDCS) was offered as an alternative to USN treatment tables. This approach is supported both by animal studies and by limited clinical experience. Me present a well documented case report of NDCS unresponsive to an extended USN table 6, successfully treated with oxyhelium table CI-30. CASE: A 49-year-old male presented with lower girdle paraparesis, marked unsteadiness and urinary incontinence that had appeared 10 minutes after surfacing from a dive on which the decompression schedule had been violated. Treatment on an extended USN Table 6 was started immediately, but the symptoms persisted. Twenty-four hours later, the patient was treated with oxyhelium table CX-30, resulting in marked improvement in gait and sensory and motor functions. Laboratory evaluation: Urodynamic examinations indicated upper motor neuron lesion; bilateral decreased aptitude and prolonged latency of the somatosensory evoked potentials (SIP) on stimulation of the tibial and con peroneal nerves indicated spinal cord or thalaaocortical lesion; an till study of a T2 weighted iEge showed several punctuate hyperdense lesions in the lower dorsal cord. The patient's condition was further improved by an additional 10 BBO sessions at 2.5 ATA for 90 minutes each, witu complete urinary control and virtually complete sensory and motor recovery. Follow-up urodynamic studies were normal. Higher aptitudes and shorter latencies were noted in the SEP. CONCLUSION: The present case supports the value of oxyhelium in the treatment of NDCS. The importance of laboratory neurological function evaluation and imaging in diagnosis and follow-up is emphasized. Oxyhelium treatment is also recommended, even after a considerable delay, in cases where primary treatment with oxygen tables is unsuccessful.
Description: Abstract of the Undersea and Hyperbaric Medical Society, Inc. Annual Scientific Meeting held June 22-26, 1994. Westin Hotel, Denver, Colorado (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/5698
Date: 1994

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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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