Neuroimaging of scuba diving injuries to the CNS

L. P. Warren, W. T. Djang, R. E. Moon, E. M. Camporesi, D. S. Sallee, D. C. Anthony, E. W. Massey, P. C. Burger, E. R. Heinz

Research output: Contribution to journalArticle

Abstract

Diving accidents related to barotrauma constitute a unique subset of ischemic insults to the CNS. Victims may demonstrate components of arterial gas emoblism, which has a propensity for cerebral involvement, and/or decompression sickness, with primarily spinal cord involvement. Fourteen patients with diving-related barotrauma were studied with MR imaging of the brain and spinal cord and with CT of the brain. In four patients with presumed cerebral gas embolism, cranial MR was abnormal in three patients while CT was abnormal in only one. Twelve patients had decompression sickness and spinal cord symptoms. MR documented spinal cord abnormalities in three patients. However, scans obtained early in our study were frequently limited by technical constraints. MR of the brain is more sensitive than conventional CT scanning techniques in detecting and characterizing foci of cerebral ischemia caused by embolic barotrauma to the CNS. Although spinal MR may be less successful in the localization of spinal cord lesions related to decompression sickness, these lesions were previously undetectable by other neuroimaging methods.

Original languageEnglish (US)
Pages (from-to)1003-1008
Number of pages6
JournalAmerican Journal of Roentgenology
Volume151
Issue number5
DOIs
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Warren, L. P., Djang, W. T., Moon, R. E., Camporesi, E. M., Sallee, D. S., Anthony, D. C., Massey, E. W., Burger, P. C., & Heinz, E. R. (1988). Neuroimaging of scuba diving injuries to the CNS. American Journal of Roentgenology, 151(5), 1003-1008. https://doi.org/10.2214/ajr.151.5.1003