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  • Neurologic Decompression Sickness

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Neurologic Decompression Sickness

Aka: Neurologic Decompression Sickness, Neurologic DCS, Cerebral DCS, Spinal Cord DCS
  1. See Also
    1. Decompression Sickness
  2. Pathophysiology
    1. Scuba Diving related injury
  3. Symptoms: Cerebral Decompression Sickness
    1. Onset
      1. Within one hour of ascent: 50%
      2. Within 6 hours of ascent: 90%
    2. Most common symptoms of Neurologic DCS
      1. Numbness (59%)
      2. Pain (55%)
      3. Dizziness (27%)
      4. Severe Fatigue (25%)
      5. Headache (24%)
      6. Weakness (23%)
      7. Nausea (14%)
      8. Abnormal Gait (12%)
      9. Hypoesthesia (10%)
      10. Visual disturbance (8%)
        1. Vision Loss
        2. Diplopia
      11. Pruritus (5%)
  4. Symptoms: Spinal Decompression Sickness (Thoracic)
    1. Paresthesias and sensory loss in trunk and extremities
    2. Tingling or constricting sensation around thorax
    3. Ascending leg weakness
    4. Low Back Pain
    5. Loss of bowel or Bladder control
  5. Management
    1. See Decompression Sickness Management
  6. References
    1. Aharon-Peretz (1993) Arch Neurol 50:753-6
    2. Clenney (1996) Am Fam Physician 53(5):1761-6
    3. Dick (1985) Neurology 35:667-71
    4. Jerrard (1992) Emerg Med Clin North Am 10:329-38
    5. Greer (1992) Neurol Clin 10:1031-45
    6. Newton (2001) Am Fam Physician 63(11): 2211-2226

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