• Neurol Neurochir Pol · Jan 2015

    Review

    Neurological complications of underwater diving.

    • Justyna Rosińska, Maria Łukasik, and Wojciech Kozubski.
    • Chair & Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland. Electronic address: justynarosinska@interia.pl.
    • Neurol Neurochir Pol. 2015 Jan 1;49(1):45-51.

    AbstractThe diver's nervous system is extremely sensitive to high ambient pressure, which is the sum of atmospheric and hydrostatic pressure. Neurological complications associated with diving are a difficult diagnostic and therapeutic challenge. They occur in both commercial and recreational diving and are connected with increasing interest in the sport of diving. Hence it is very important to know the possible complications associated with this kind of sport. Complications of the nervous system may result from decompression sickness, pulmonary barotrauma associated with cerebral arterial air embolism (AGE), otic and sinus barotrauma, high pressure neurological syndrome (HPNS) and undesirable effect of gases used for breathing. The purpose of this review is to discuss the range of neurological symptoms that can occur during diving accidents and also the role of patent foramen ovale (PFO) and internal carotid artery (ICA) dissection in pathogenesis of stroke in divers.Copyright © 2014 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.

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