[Idiopathic medullary decompression sickness: myth or reality?].
Severe decompression sickness occurs unfrequently, with, generally an identifying cause (error in decompression protocols, promoting factors.). We report a case of severe spinal cord damage; onset after a common dive, neither deep nor long, without any promoting factor, absence of responsiveness to recompression, three hours post-dive, importance of MRI signal abnormalities, make us to point out the confounding variability of onset and evolution of such illness.
Département d'Anesthésie/Réanimation, CHU, Hôpital La Cavale Blanche, Brest.
G
G
Cochard
L
L
Jouineau
H
H
Mongredien
F
F
Rouhart
C
C
Arvieux
D000328:Adult; D003665:Decompression Sickness / Q000150:complications* / Q000473:pathology / Q000628:therapy; D006801:Humans; D006931:Hyperbaric Oxygenation; D008279:Magnetic Resonance Imaging; D008297:Male; D013119:Spinal Cord Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D018608:Ultrasonography, Doppler