Abstract：
INTRODUCTION:Decompression sickness (DS) is caused when bubbles of an inert gas usually nitrogen, since oxygen is metabolised in the tissues are released into the bloodstream and tissues during fast ascents once the atmospheric pressure is lowered near the surface. Neurological complications are its most serious form of expression and include vertigo, headache, stroke and acute myelopathy, among others. DS that affects the spinal cord is infrequent. CASE REPORT:A male, 42 years old, who presented progressive tetraparesis 15 minutes after returning to the surface following several immersions up to 40 metres deep in the same day. Neurological exploration revealed tetraparesis that was predominantly distal and in the lower limbs, a posterior cord syndrome, urinary incontinence and neurogenic pain. Total column magnetic resonance imaging showed areas of diffused hypersignal in the T2 sequence in the thoracic and cervical (C2 to C6) regions, predominating in the posterior cords. The echocardiogram, transcranial Doppler and spirometric studies ruled out an arterial gas embolism following pulmonary barotrauma. CONCLUSIONS:Spinal DS can give rise to a serious myelopathy, which affects the pyramidal pathway, posterior cords and sphincteral control, and which generally appears after sudden ascents from the deep dives.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Carod-Artal FJ,Vilela-Nunes S,Fernandes-da Silva TVsubject
Has Abstractpub_date
2003-06-01 00:00:00pages
1040-4issue
11eissn
0210-0010issn
1576-6578pii
rn2003012journal_volume
36pub_type
杂志文章abstract：:The term 'acute myelopathies'--referred to a spinal cord dysfunction--represent a heterogeneous group of disorders with distinct etiologies, clinical and radiologic features, and prognoses. The objective of this review is to discuss the non-traumatic acute myelopathies. Acute myelopathy can be due to several causes as...
journal_title：Revista de neurologia
pub_type： 杂志文章,评审
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更新日期：2013-09-06 00:00:00
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journal_title：Revista de neurologia
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journal_title：Revista de neurologia
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更新日期：2004-03-01 00:00:00
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journal_title：Revista de neurologia
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更新日期：2002-07-01 00:00:00
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pub_type： 杂志文章,评审
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journal_title：Revista de neurologia
pub_type： 杂志文章
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
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更新日期：2000-07-01 00:00:00
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更新日期：2004-01-16 00:00:00
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pub_type： 杂志文章,评审
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2004-01-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：1999-11-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2000-11-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-03-16 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：1999-02-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：2001-05-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章,评审
doi：
更新日期：2004-01-16 00:00:00
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journal_title：Revista de neurologia
pub_type：
doi：10.33588/rn.6903.2019178
更新日期：2019-08-01 00:00:00
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pub_type： 杂志文章,评审
doi：
更新日期：2001-05-01 00:00:00
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pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
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journal_title：Revista de neurologia
pub_type： 杂志文章
doi：
更新日期：1999-02-16 00:00:00
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doi：
更新日期：1998-10-01 00:00:00
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pub_type： 传,历史文章,杂志文章
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更新日期：2009-08-01 00:00:00
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更新日期：2004-02-01 00:00:00
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pub_type： 信件
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