open access

Vol 63, No 1 (2011)
DIVING. HYPERBARIC MEDICINE
Published online: 2011-04-29
Submitted: 2013-02-18
Get Citation

Risk of misclassification of decompression sickness

Endre Sundal, Marit Grønning, Kari Troland, Ågot Irgens, Leif Aanderud, Einar Thorsen
International Maritime Health 2011;63(1):17-19.

open access

Vol 63, No 1 (2011)
DIVING. HYPERBARIC MEDICINE
Published online: 2011-04-29
Submitted: 2013-02-18

Abstract

Decompression sickness (DCS) is classified on the basis of which organ system is affected, and neurological DCS is considered more severe than DCS in joints and skin with respect to response to recompression treatment and risk of long-term sequelae. Gas bubble formation interstitially in the tissues or in the circulation is considered to be the mechanism for all types of DCS. Ten patients diagnosed as having DCS in joints or skin, by doctors experienced in diving medicine, underwent clinical examination by a neurologist and had an electroencephalogram. Eight of the ten subjects had findings suggesting central nervous system deficits. The findings indicate that DCS of the central nervous system often accompanies DCS of the joints and skin, and that local skin and joint symptoms may draw attention away from cerebral symptoms. We recommend that all cases with DCS should initially be treated as neurological DCS.
(Int Marit Health 2011; 62, 1: 17–19)

Abstract

Decompression sickness (DCS) is classified on the basis of which organ system is affected, and neurological DCS is considered more severe than DCS in joints and skin with respect to response to recompression treatment and risk of long-term sequelae. Gas bubble formation interstitially in the tissues or in the circulation is considered to be the mechanism for all types of DCS. Ten patients diagnosed as having DCS in joints or skin, by doctors experienced in diving medicine, underwent clinical examination by a neurologist and had an electroencephalogram. Eight of the ten subjects had findings suggesting central nervous system deficits. The findings indicate that DCS of the central nervous system often accompanies DCS of the joints and skin, and that local skin and joint symptoms may draw attention away from cerebral symptoms. We recommend that all cases with DCS should initially be treated as neurological DCS.
(Int Marit Health 2011; 62, 1: 17–19)
Get Citation

Keywords

bends; diving; neurological decompression illness; recompression treatment

About this article
Title

Risk of misclassification of decompression sickness

Journal

International Maritime Health

Issue

Vol 63, No 1 (2011)

Pages

17-19

Published online

2011-04-29

Bibliographic record

International Maritime Health 2011;63(1):17-19.

Keywords

bends
diving
neurological decompression illness
recompression treatment

Authors

Endre Sundal
Marit Grønning
Kari Troland
Ågot Irgens
Leif Aanderud
Einar Thorsen

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl