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Related Experiment Videos

Paraplegia during skin-diving. (13 cases)

R Girard

    Paraplegia
    |April 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Divers experiencing paraplegia after decompression sickness showed significant improvement with hyperbaric oxygenation. Most patients recovered neurological function and returned to work, highlighting the treatment

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    Area of Science:

    • Neurology
    • Diving Medicine
    • Hyperbaric Medicine

    Background:

    • Decompression sickness can cause severe neurological deficits, including paraplegia, in divers.
    • This study examines thirteen cases of paraplegia following diving expeditions.

    Observation:

    • Thirteen skilled divers (12 male, 1 female, aged 27-50) experienced paraplegia after dives between 30-42 meters for 15-30 minutes.
    • Symptoms included sudden posterior thoracic paralysis, nausea, and brief unconsciousness, with paralysis onset within an hour.

    Findings:

    • Ten of thirteen patients received hyperbaric oxygenation (HBO) 1-5 hours post-onset, resulting in neurological improvement for all ten.
    • Initial tetraplegia improved to thoracic levels; two cases had persistent complete thoracic paraplegia.
    • While paralysis improved, sensation deficits persisted, often with spasticity, sexual impotence, and urinary incontinence, though micturition normalized.

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    Implications:

    • Hyperbaric oxygenation is a crucial intervention for divers with decompression-induced paraplegia.
    • Early HBO treatment can lead to significant functional recovery and return to work for most affected divers.
    • Further research into long-term neurological deficits and management strategies is warranted.