Electroencephalography and magnetic resonance imaging after diving and decompression incidents: a controlled study

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Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc

Undersea Hyperb.Med.

Summer

LR: 20041117; JID: 9312954; ppublish

UNITED STATES

1066-2936; 1066-2936

PMID: 10372424

eng

Journal Article; IM; S

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10372424

Electroencephalography and magnetic resonance imaging after diving and decompression incidents: a controlled study. Undersea Hyper Med 1999.; 26(2):61-65.--Diving incidents with symptoms of decompression sickness (DCS) and/or arterial gas emboli (AGE) might increase the degree of pathologic change in the electroencephalogram (EEG) or magnetic resonance imaging (MRI) of the supraspinal central nervous system (CNS). Diving itself, even without known symptoms of DCS and/or AGE, has been proposed to increase the number of CNS lesions using either EEG or MRI. In the first part of a two-part study we examined the effects of recompression treatment on EEG in decompression incidents in a group of sport and professional divers compared with a control group of healthy naval divers. In the second part we recorded brain MRI from three groups of volunteers: 1) divers who were treated for DCS in pressure chamber, 2) divers who had never had symptoms of DCS (and/or AGE), and 3) healthy normal controls who were not divers. Our results indicate that DCS increases the incidence of pathologic EEG recordings, whereas recompression treatment decreases them. The results of MRI do not verify evidence of increased numbers of CNS lesions in normal divers as compared to non-diving, healthy control subjects, whereas some of the divers treated for DCS in a pressure chamber had hyperintense lesions in brain white matter. None of them had any abnormalities in EEG, neurologic performance, or psychologic behavior. Both EEG and MRI are sensitive and non-specific methods for judging suspected evidence of brain lesions from diving or diving accidents.

Adult, Case-Control Studies, Decompression Sickness/physiopathology/therapy, Diving/physiology, Electroencephalography, Embolism, Air/physiopathology, High Pressure Neurological Syndrome/physiopathology, Humans, Magnetic Resonance Imaging, Male, Middle Aged

Sipinen,S. A., Ahovuo,J., Halonen,J. P.

Research Institute of Military Medicine, Naval Department, Helsinki, Finland.

http://vp9py7xf3h.search.serialssolutions.com/?charset=utf-8&pmid=10372424

1999