[abstract] CEREBELLAR ISCHEMIA, AN UNUSUAL COMPLICATION OF DECOMPRESSION ILLNESS: CASE REPORT.

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[abstract] CEREBELLAR ISCHEMIA, AN UNUSUAL COMPLICATION OF DECOMPRESSION ILLNESS: CASE REPORT.

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Title: [abstract] CEREBELLAR ISCHEMIA, AN UNUSUAL COMPLICATION OF DECOMPRESSION ILLNESS: CASE REPORT.
Author: Brauzzi, M; Falini, S; Tanasi, P
Abstract: CASE REPORT The patient was a 45 years old male, professional diver, long experience in diving. He dived at 39 meters (4,9 ATA) for multilevel dive of about 25' and surfaced following the dive profile of the computer. At surfacing he complained very severe fatigue, hypotonia and general malaise. He was unable to climb on the boat and so his buddies recovered him; on the boat he became unconscious, but he was still able to breathe by himself and the radial pulse was weak but present. He was rushed to the nearest harbour and after 2 hours referred to our Unit. At the arrival he was tetraparetic, very confused but conscious, very severe general weakness, headache and sleepiness. The sistolic pressure was 90 mm. Hg.. He was then recompressed to 2.8 ATA (18 metres) with US Navy table 6 with a very quick recover of motor strength on upper arms and a slight hypotonia on inferior limbs which was more severe on the left leg, the headache disappeared and the patient was totally awake and able to speak correctly; he was still unable to void and so an urethral catheter was positioned. With a very quick load of fluids (about 2500 cc.) the sistolic pressure raised to 130 mm.Hg. Table 6 was then completed with extensions and at the end of the treatment he was able to walk; at physical examination we observed ataxia and incoordination of the gait and moderate hypotonia on the left leg and bladder paralysis. He sustained "tailing" treatments of HBO and after 15 days he recovered almost fully, being able to walk without problems and to void (residual bladder hyperreflexia). The brain MRI after 10 days showed (300) no significant cerebral problems but identified an area of slight cerebellar ischemia in the area of perfusion of the posterior cerebellar artery. A transoesophageal Doppler for detection of patent foramen ovale was totally negative.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/6526
Date: 2000

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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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