Spinal decompression sickness with delayed onset, delayed treatment, and full recovery.
نویسندگان
چکیده
Decompression sickness is caused by nitrogen bubbles formed in the body of divers and people working with compressed air who leave a compressed environment too fast. The bubbles most commonly afflict the joints, skin, brain, spinal cord, and lungs. Decompression sickness, if untreated, may cause permanent functional damage and is potentially fatal. We report an unusual case of decompression sickness affecting the brain and spinal cord in which neurological symptoms and signs first appeared five hours after the dive. Symptoms were partially relieved by oxygen, dextran 40, and dexamethasone but disappeared fully only during hyperbaric treatment.
منابع مشابه
P168: Delayed Imatinib Treatment for Spinal Cord Damage; Role of Serum Biomarkers and Recovery
With no routine accessible medicine intervention for spinal cord damage, there is a demand for more remedial candidates. However, for Imatinib to have translational price, it requires to have encouraged obliging effects with delayed start of treatment, as well. Serum levels of 3 chemokines/ cytokines, MIP-3α, MCP-1, and GRO/ KC (IL-8), to raise over time with Imatinib treatment and to be ...
متن کاملDelayed Recompression for Decompression Sickness: Retrospective Analysis
INTRODUCTION Most cases of decompression sickness (DCS) occur soon after surfacing, with 98% within 24 hours. Recompression using hyperbaric chamber should be administrated as soon as feasible in order to decrease bubble size and avoid further tissue injury. Unfortunately, there may be a significant time delay from surfacing to recompression. The time beyond which hyperbaric treatment is non ef...
متن کاملDelayed decompression exacerbates ischemia-reperfusion injury in cervical compressive myelopathy.
Degenerative cervical myelopathy (DCM) is the most common progressive nontraumatic spinal cord injury. The most common recommended treatment is surgical decompression, although the optimal timing of intervention is an area of ongoing debate. The primary objective of this study was to assess whether a delay in decompression could influence the extent of ischemia-reperfusion injury and alter the ...
متن کاملIntravenous perfluorocarbon after onset of decompression sickness decreases mortality in 20-kg swine.
INTRODUCTION Decompression sickness (DCS) occurs when bubbles form due to pressure decreases with severity ranging from trivial to fatal. Standard treatment requires a hyperbaric chamber, not likely to be available at remote sites or during a disabled submarine escape or rescue. Alternative (non-recompressive) treatments are needed. Intravenous administration of emulsified perfluorocarbons (PFC...
متن کاملDelayed treatment of decompression sickness with short, no-air-break tables: review of 140 cases.
INTRODUCTION Most cases of decompression sickness (DCS) in the U.S. are treated with hyperbaric oxygen using U.S. Navy Treatment Tables 5 and 6, although detailed analysis shows that those tables were based on limited data. We reviewed the development of these protocols and offer an alternative treatment table more suitable for monoplace chambers that has proven effective in the treatment of DC...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- British medical journal
دوره 284 6321 شماره
صفحات -
تاریخ انتشار 1982