title: Neurological symptoms after a provocative dive: spinal DCS or anterior spinal artery syndrome?
abstract: Reported here is a 37-yr-old professional diving instructor who had developed complaints of back pain and weakness in the lower extremities after diving. He was eventually diagnosed as having spinal cord decompression sickness along with a likely diagnosis of anterior spinal artery (artery of Adamkiewicz) syndrome. Additionally, since the transthoracic echocardiography revealed patent foramen ovale, we hypothesized that it might have been a potential route for gas bubbles to occlude the anterior spinal artery in this diver.
authors.affiliation: Department of Underwater and Hyperbaric Medicine, Gülhane Military Medical Academy, Haydarpaşa Teaching Hospital, Istanbul, Turkey. gunalpuzun@yahoo.com
authors.forename: Gunalp
authors.initials: G
authors.lastname: Uzun
authors.forename: Engin
authors.initials: E
authors.lastname: Cakar
authors.forename: Mehmet Zeki
authors.initials: MZ
authors.lastname: Kiralp
authors.forename: Alparslan
authors.initials: A
authors.lastname: Carli
authors.forename: Oğuz
authors.initials: O
authors.lastname: Durmuş
authors.forename: Mehmet Güney
authors.initials: MG
authors.lastname: Senol
authors.forename: Mesut
authors.initials: M
authors.lastname: Mutluoğlu
authors.forename: Omer
authors.initials: O
authors.lastname: Uz
authors.forename: Umit
authors.initials: U
authors.lastname: Dinçer
authors.forename: Levent
authors.initials: L
authors.lastname: Ozçakar
mesh_terms: D000328:Adult; D020759:Anterior Spinal Artery Syndrome / Q000175:diagnosis* / Q000453:epidemiology; D015897:Comorbidity; D003665:Decompression Sickness / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D004242:Diving / Q000009:adverse effects*; D054092:Foramen Ovale, Patent / Q000453:epidemiology; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male