• Br J Sports Med · Aug 2004

    Case Reports

    Desbaric air embolism during diving: an unusual complication of Osler-Weber-Rendu disease.

    • Y-L Hsu, H-C Wang, and P-C Yang.
    • Far Eastern Memorial Hospital, Pulmonary and Critical Care Medicine, 2F, No. 25, Lane 461, Chi-Lin Road, Taipei 104, Taiwan. Hsu619@sinamail.com
    • Br J Sports Med. 2004 Aug 1; 38 (4): E6.

    AbstractCerebral manifestations of Osler-Weber-Rendu disease (OWRD, hereditary haemorrhagic telangiectasia) including telangiectases, venous malformations, and arteriovenous malformations, are usually under-recognised. The highest complication rate is observed in high flow cerebral arteriovenous malformations, which may present with headache, epilepsy, ischaemia, or haemorrhage. Cerebral air embolism during self-contained underwater breathing apparatus (scuba) diving as the first manifestation of pulmonary arteriovenous malformation (PAVM) in OWRD patients has never been reported before. Here we report a 31 year old male who presented desbaric air embolism as the first manifestation of PAVM. As far as we know, this is the first such case published in English medical literature.

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