open access

Vol 49, No 1 (2015)
Review article
Submitted: 2014-08-05
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Neurological complications of underwater diving

Justyna Rosińska, Maria Łukasik, Wojciech Kozubski
DOI: 10.1016/j.pjnns.2014.11.004
·
Neurol Neurochir Pol 2015;49(1):45-51.

open access

Vol 49, No 1 (2015)
Review article
Submitted: 2014-08-05

Abstract

The diver's nervous system is extremely sensitive to high ambient pressure, which is the sum of atmospheric and hydrostatic pressure. Neurological complications associated with diving are a difficult diagnostic and therapeutic challenge. They occur in both commercial and recreational diving and are connected with increasing interest in the sport of diving. Hence it is very important to know the possible complications associated with this kind of sport. Complications of the nervous system may result from decompression sickness, pulmonary barotrauma associated with cerebral arterial air embolism (AGE), otic and sinus barotrauma, high pressure neurological syndrome (HPNS) and undesirable effect of gases used for breathing. The purpose of this review is to discuss the range of neurological symptoms that can occur during diving accidents and also the role of patent foramen ovale (PFO) and internal carotid artery (ICA) dissection in pathogenesis of stroke in divers.

Abstract

The diver's nervous system is extremely sensitive to high ambient pressure, which is the sum of atmospheric and hydrostatic pressure. Neurological complications associated with diving are a difficult diagnostic and therapeutic challenge. They occur in both commercial and recreational diving and are connected with increasing interest in the sport of diving. Hence it is very important to know the possible complications associated with this kind of sport. Complications of the nervous system may result from decompression sickness, pulmonary barotrauma associated with cerebral arterial air embolism (AGE), otic and sinus barotrauma, high pressure neurological syndrome (HPNS) and undesirable effect of gases used for breathing. The purpose of this review is to discuss the range of neurological symptoms that can occur during diving accidents and also the role of patent foramen ovale (PFO) and internal carotid artery (ICA) dissection in pathogenesis of stroke in divers.

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Keywords

Diving, Neurologic decompression illness, High pressure neurological syndrome, Pulmonary barotrauma, Patent foramen ovale

About this article
Title

Neurological complications of underwater diving

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 1 (2015)

Pages

45-51

DOI

10.1016/j.pjnns.2014.11.004

Bibliographic record

Neurol Neurochir Pol 2015;49(1):45-51.

Keywords

Diving
Neurologic decompression illness
High pressure neurological syndrome
Pulmonary barotrauma
Patent foramen ovale

Authors

Justyna Rosińska
Maria Łukasik
Wojciech Kozubski

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