2008, English, Article edition: MRI findings and clinical outcome in 45 divers with spinal cord decompression sickness. Gempp, Emmanuel; Blatteau, Jean-Eric; Stephant, Eric; ...

User activity

Share to:
 
Bookmark: http://trove.nla.gov.au/version/205542
Physical Description
  • text
Published
  • HAL - CCSD
  • 2008
Language
  • English

Edition details

Title
  • MRI findings and clinical outcome in 45 divers with spinal cord decompression sickness.
Author
  • Gempp, Emmanuel
  • Blatteau, Jean-Eric
  • Stephant, Eric
  • Pontier, Jean-Michel
  • Constantin, Pascal
  • Pény, Christophe
Published
  • HAL - CCSD
  • 2008
Physical Description
  • text
Subjects
Notes
  • BACKGROUND: Decompression sickness (DCS) affecting the spinal cord is the most dangerous form of diving-related injury with potential sequelae. This study was conducted to evaluate the relationship between spinal cord lesions on MRI and clinical findings in divers with spinal DCS. METHODS: We studied 45 cases of DCS that were referred to our hyperbaric facility with clinical evidence of spinal involvement during the period 2002-2007. The study included only patients who underwent MRI within 10 d of injury. The severity of spinal DCS for each patient was rated numerically for both the acute event and 1 mo later. The presence or absence of back pain was also noted. RESULTS: Spinal cord lesions were significantly more frequent in divers with severe DCS, and did not occur in any diver who experienced a favorable outcome (sensitivity =​ 67%, specificity =​ 100%, negative predictive value =​ 77%, positive predictive value =​ 100%). The presence of vertebral degenerative changes that impinged on the spinal cord was strongly associated with MRI abnormalities, but not with a negative outcome. Acute back pain was associated with hyperintense lesions and persistence of neurological sequelae [OR =​ 14 (95% CI, 3.1 to 63.5)]. CONCLUSION: The results show that MRI could be helpful in predicting clinical outcome in divers with spinal cord DCS. The presence of medullary compressive factors and vertebral back pain after surfacing indicate increased likelihood of severe myelopathy with incomplete recovery.
  • HAL:ssa-00355981, version 1
  • HAL:http:/​/​hal-ssa.archives-ouvertes.fr/​ssa-00355981/​en/​
  • PUBMED:19070307
Language
  • English
Contributed by
OAIster

Get this edition

  • Set up My libraries

    How do I set up "My libraries"?

    In order to set up a list of libraries that you have access to, you must first login or sign up. Then set up a personal list of libraries from your profile page by clicking on your user name at the top right of any screen.

  • All (1)
  • Unknown (1)
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.
None of your libraries hold this item.

User activity


e.g. test cricket, Perth (WA), "Parkes, Henry"

Separate different tags with a comma. To include a comma in your tag, surround the tag with double quotes.

Be the first to add a tag for this edition

Be the first to add this to a list

Comments and reviews

What are comments? Add a comment

No user comments or reviews for this version

Add a comment