title: Inner ear decompression sickness following altitude chamber operation.
abstract: Decompression sickness (DCS) is a known hazard of altitude chamber operation. The musculoskeletal, dermal, neurological and pulmonary manifestations of DCS are well recognized, but inner ear injury has not been reported. We present the unusual case of a medical corpsman suffering from vestibular DCS after an altitude chamber exposure to 25,000 ft. The patient had a good clinical response to hyperbaric treatment, but there was laboratory evidence of mild residual vestibular damage with full compensation. This case suggests that aviation medical personnel should be more aware of the possible occurrence of inner ear DCS among subjects exposed to altitude.
authors.affiliation: Motion Sickness and Human Performance Laboratory, Israel Naval Medical Institute, Haifa.
authors.forename: Z
authors.initials: Z
authors.lastname: Nachum
authors.forename: A
authors.initials: A
authors.lastname: Shupak
authors.forename: O
authors.initials: O
authors.lastname: Spitzer
authors.forename: Z
authors.initials: Z
authors.lastname: Sharoni
authors.forename: Y
authors.initials: Y
authors.lastname: Ramon
authors.forename: A
authors.initials: A
authors.lastname: Abramovich
authors.forename: B
authors.initials: B
authors.lastname: Shahal
mesh_terms: D000328:Adult; D000337:Aerospace Medicine; D000531:Altitude; D003665:Decompression Sickness / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D003937:Diagnosis, Differential; D007758:Ear, Inner / Q000293:injuries*; D004584:Electronystagmography; D006801:Humans; D006931:Hyperbaric Oxygenation; D007557:Israel; D008297:Male; D008889:Military Personnel; D009326:Naval Medicine; D014724:Vestibular Function Tests