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Related Experiment Videos

Infraorbital hypesthesia after maxillary sinus barotrauma.

F K Butler1, A A Bove

  • 1Naval Special Warfare Command Detachment, Pensacola, Florida, USA.

Undersea & Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc
|January 21, 2000
PubMed
Summary

Diving can cause facial pain and numbness due to sinus barotrauma, mimicking decompression sickness. This case highlights barotrauma as the likely cause of nerve deficits after ascent.

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Area of Science:

  • Neurology
  • Diving Medicine
  • Barotrauma Research

Background:

  • Diving activities carry risks of barotrauma, affecting air-filled cavities like sinuses.
  • Cranial nerve deficits can occur following barotrauma, though often misdiagnosed.
  • Distinguishing barotrauma from decompression sickness is crucial for appropriate patient management.

Observation:

  • A diver experienced facial pain, crepitus, and infraorbital nerve sensory deficit post-ascent.
  • Symptoms presented after a dive, raising suspicion for barotrauma or decompression sickness.
  • Clinical presentation strongly suggested maxillary sinus barotrauma as the etiology.

Findings:

  • The case details sensory loss in the infraorbital nerve distribution.
  • Facial pain and crepitus were key presenting symptoms.

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  • Analysis points towards barotrauma, not decompression sickness, causing the neurological findings.

    • Implications:

    • This case underscores the importance of considering barotrauma in divers with neurological symptoms.
    • Accurate diagnosis is vital to differentiate barotrauma from decompression sickness.
    • Understanding trigeminal nerve anatomy aids in diagnosing barotrauma-induced deficits.