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The Gradient Perfusion Model Part 3: An extraordinary case of decompression sickness.
Lientra Q Lu1, Michael B Strauss2, Stuart S Miller2
1VA Tibor Rubin Medical Center at Long Beach, Long Beach, California U.S.
Summary
A rare case of decompression sickness (DCS) occurred after hyperbaric air exposure, causing paralysis. Prompt hyperbaric oxygen recompression treatment led to a full recovery, highlighting a unique "disordered decompression" syndrome.
Area of Science:
- Hyperbaric Medicine
- Diving Physiology
- Neurology
Background:
- Decompression sickness (DCS) typically occurs in divers but can arise from unusual hyperbaric exposures.
- This case involves a 72-year-old female experiencing DCS after using a homemade hyperbaric chamber.
Observation:
- The patient developed delayed-onset paraplegia and abdominal pain after a hyperbaric air exposure to 3.2 ATA.
- Symptoms appeared postprandially, suggesting a link between physiological changes and decompression stress.
Findings:
- The patient underwent emergency hyperbaric oxygen recompression treatment (HBO2 RCT) following a specific management algorithm.
- Full neurological recovery was achieved after the HBO2 RCT.
Implications:
- The case illustrates a novel presentation of DCS, termed "disordered decompression."
- The Gradient Perfusion Model may explain the "steal" syndrome mechanism causing symptoms.
- This highlights the importance of specialized hyperbaric treatment for complex decompression injuries.
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