Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-03T00:16:58.472Z Has data issue: false hasContentIssue false

Decompression Sickness Damaging the Spinal Cord in a Scuba Diver: Case Report

Published online by Cambridge University Press:  28 June 2012

B.G. Mathew
Affiliation:
Department of Plastic Surgery, Frenchay Hospital, Bristol, United Kingdom.

Extract

Scuba diving has become a popular sport resulting in an increased incidence of diving accidents. A survey done by the United States Navy from 1955 to 1960 revealed that decompression sickness (D.C.S.) is the most common serious complication experienced by scuba divers and the third most likely cause of death. The major cause is drowning and the second is arterial gas embolism from pulmonary barotrauma.

D.C.S. has been classified into two groups. Type I includes the less severe forms with bubbles in the skin (“itches”), joints and other tissues. Type II includes the serious conditions with neurological involvement “staggers.” A detailed knowledge of D.C.S., commonly known as “the bends,” is essential to both divers and emergency personnel in order to minimize the morbidity and mortality associated with this condition.

A case of Type II bends with spinal cord damage is presented and the condition discussed.

Type
Clinical Topics
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Dewey, A.W.Decompression sickness, an emerging recreational hazard. New Eng. J. Med. 267(15):759765, Oct. 1962.CrossRefGoogle ScholarPubMed
2.Cockett, A.T.K.Pauley, S.M., Zehl, D.N.Pathophysiology of bends and decompression sickness. Arch. Surg. 114:296301, March 1979.CrossRefGoogle ScholarPubMed
3.Hallenbeck, J.M., Bove, A.A., Elliott, D.H.Mechanisms underlying spinal cord damage in decompression sickness. Neurology 25:308316, April 1975.CrossRefGoogle ScholarPubMed
4.Boettger, M.L.Scuba diving emergencies: Pulmonary overpressure accidents and decompression sickness. Ann. Emerg. Med. 12:563567, Sept. 1983.CrossRefGoogle ScholarPubMed
5.Powell, B.Brief report: Type II decompression sickness. Int.J. Med. Sci. 150(12):380381, Dec. 1981.Google Scholar
6.Palmer, A.C., Calder, I.M., McCallum, R.I.Spinal cord degeneration in a case of “recovered” spinal decompression sickness. B.M.J. 283:888, Oct. 1981.CrossRefGoogle Scholar
7. Personal communication: Institute of Naval Medicine, Alverstoke Gosport Hants PO 12 2DL U.K., Feb. 1985.Google Scholar
8.Unsworth, I.P.Spinal decompression sickness while scuba diving under the influence of drugs. Med. J. of Australia 543–544, June 1982.Google Scholar