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CISDOC database

Document ID (ISN)109490
CIS number 09-438
ISSN - Serial title 0095-6562 - Aviation, Space, and Environmental Medicine
Year 2008
Convention or series no.
Author(s) Gempp E., Blatteau J.E., Stephant E., Pontier J.M., Constantin P., PÚny C.
Title MRI findings and clinical outcome in 45 divers with spinal cord decompression sickness
Bibliographic information Dec.2008, Vol.79, No.12, p.1112-1116. Illus. 23 ref.
Abstract Decompression sickness (DCS) affecting the spinal cord is the most dangerous form of diving-related injury with potential sequelae. This study was conducted to evaluate the relationship between spinal cord lesions on MRI and clinical findings in divers with spinal DCS. A total of 45 cases of DCS that were referred to a hyperbaric facility with clinical evidence of spinal involvement during the period 2002-2007 were studied. The study included only patients who underwent MRI within 10 days of injury. The severity of spinal DCS for each patient was rated numerically for both the acute event and one month later. The presence or absence of back pain was also noted. Spinal cord lesions were significantly more frequent in divers with severe DCS, and did not occur in any diver who experienced a favorable outcome. It is concluded that MRI could be helpful in predicting clinical outcome in divers with spinal cord DCS. Other findings are discussed.
Descriptors (primary) decompression sickness; diving; magnetic resonance imaging; medical examinations; spinal cord injuries; diagnosis
Descriptors (secondary) hyperbaric pressure; severity rates; disc lesions
Document type D - Periodical articles
Country / State or ProvinceFrance
Subject(s) Construction industry
Occupational pathology
Broad subject area(s) Physical hazards
Browse category(ies) Hyperbaric pressure