A case of spinal epidural
haematoma during breath-hold diving.
Abstract/OtherAbstract:
Spinal
epidural haematoma (SEH) is a rare condition usually the result of bleeding of
the epidural venous plexus that might present with acute spinal cord
compression. It is often due to traumatic events, but 'spontaneous' cases have
been described, usually related to different predisposing conditions, such as
coagulopathies. A 47-year-old male presented with severe frontal headache and
intense cervical pain which developed during a protracted breath-hold
spearfishing session. A cervical spine MRI performed 12 days after symptom
onset showed a small epidural blood collection on the left side of the spinal
canal, at the C7-T1 level. One week later, blood was no longer present and the
asymptomatic patient was discharged. Protracted minor trauma (neck flexion) and
repeated Valsalva manoeuvres might have played a role in the genesis of this
event. The role of decompression sickness is discussed as well.
Authors:
Lucio Tremolizzo; Mirko Patassini;
Massimo Malpieri; Carlo Ferrarese; Ildebrando Appollonio
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Publication Detail:
Type: Journal Article
Journal Detail:
Title: Diving and hyperbaric
medicine : the journal of the South Pacific Underwater Medicine Society
Volume: 42 ISSN: 1833-3516
ISO Abbreviation: Diving Hyperb Med
Publication Date: 2012 Jun
Date Detail:
Created Date: 2012-07-25
Completed Date: - Revised
Date: -
Medline Journal Info:
Nlm Unique ID: 101282742
Medline TA: Diving Hyperb Med Country:
Australia
Other Details:
Languages: eng
Pagination: 98-100 Citation
Subset: IM
Affiliation:
Department
of Neurology, San Gerardo Hospital Monza and University of Milano-Bicocca,
Section of Neurology DNTB University of Milano-Bicocca, S.Gerardo Hospital, Via
Pergolesi 33, 20052 Monza (MI), Italy, Phone: +39-(0)2-6448-8128, Fax:
+39-(0)2-6448-8108, E-mail: lucio.tremolizzo@unimib.it.
Ditayangkan
ulang olh dr.Erick Supondha (Hyperbaric&Diving Medicine Consultant) Jakarta
Indonesia, hyperbaric&diving medicine hotline 021 99070050.
www.indodivinghealth.com
