[abstract] 24 CASES OF NEUROLOGICAL DECOMPRESSION ILLNESS (NDCI) - 14 MONTHS OF A SINGLE CENTER EXPERIENCE

Rubicon Research Repository/Manakin Repository

[abstract] 24 CASES OF NEUROLOGICAL DECOMPRESSION ILLNESS (NDCI) - 14 MONTHS OF A SINGLE CENTER EXPERIENCE

Show full item record


Title: [abstract] 24 CASES OF NEUROLOGICAL DECOMPRESSION ILLNESS (NDCI) - 14 MONTHS OF A SINGLE CENTER EXPERIENCE
Author: Calder, J; Reccius, A
Abstract: BACKGROUND: We describe the cases of NDCI encountered during the first 14 months of operation of the Sub aquatic Medicine Service of the Hospital de Ancud, Chile (SMSHA). MATERIALS AND METHODS: We employed a prospective systematic registry of the diving profiles and neurological examinations made by a neurologist specialized in diving medicine. Review and analysis of these registries were conducted. RESULTS: We review 60 cases of decompression illness treated from March 2007 to May 2008, 24 (40%) of these had NDCI. Of these, 13 had involvement of the spinal cord, four of the brain, and 7 peripheral nerve disease. Most cases with spinal disease had paraparesia with a sensation level, but were in general without compromise of proprioception. Of these cases, four received lidocaine and required between 0 and 12 sessions of hyperbaric oxygen therapy (HBO). Of the patients that did not receive lidocaine three did not require more sessions and the rest required between 5 and ten sessions. The only patient who had a complete spinal disease required 25 sessions of HBO. From the cases that had a cerebral disease, two presented with alterations in consciousness. One of them died in spite of hyperbaric treatment and ICU treatment. Two cerebral cases presented with lacunar syndromes that recovered completely with hyperbaric treatment. Of the 7 cases of peripheral disease, 6 of them had hipoestesia in the region of the circumflex nerve, associated with articular and muscular compromise. CONCLUSIONS: The presence of a "dissociation" or existence of different patterns of injury in the spinal cord could be explained because of different physiopathologic reasons; that is to say, arterial embolization in cases of spinal disease with respect of the posterior cord, or venous thrombosis in cases of commitment of a complete medullary syndrome, and presence of bubbles in cases of injury of the spinal cord not systemizable. Complete spinal injury patterns seem to have worse prognosis. Lidocaine treatment seems to improve prognosis.
Description: Abstract of the Undersea and Hyperbaric Medical Society, Inc. Annual Scientific Meeting, Las Vegas, Nevada, USA. (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/9222
Date: 2009

Files in this item

Files Size Format View
abstract.txt 258bytes Text file View/Open

This item appears in the following Collection(s)

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

Show full item record

Browse

My Account