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KMID : 0911820160170020048
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Korean Journal of Headache
2016 Volume.17 No. 2 p.48 ~ p.52
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The Influence of Initial Headache as a Prognostic factor in Spinal Cord Decompression Sickness
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Im Dong-Gyu
Kim Hee-Tae
Kim Byung-Kun
Ahn Jin-Young
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Abstract
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Background: Headache can be as complicated as a symptom of decompression sickness (DCS), especially spinal cord DCS. This study aims to determine headache as the potential risk or prognostic factor associated with the development of severe diving-related spinal cord DCS.
Methods: 68 injured divers (with headache n=34, without headache n=34) presenting symptoms of spinal cord DCS were retrospectively included from Seoul Medical Center. Diving information, time interval between symptom onset and hyperbaric treatment were studied. The initial severity of spinal cord DCS was rated with the Boussuges severity score and muscle power examination and the presence of sequelae was evaluated at 2 weeks. The tables used in the initial treatment for spinal cord DCS included US navy Table6 or Table6a.
Results: There were no significant differences between each treatment group in age, diving experience, depth of dive. bottom time of dive, onset to treatment, Boussuges’s score and the grade of motor power before the treatment. The motor power improvements of DCS patients with headache were more frequently occurred compared to those without headache (58.9% vs 35.3%, p=0.029).
Conclusion: The presence of initial headache might be useful prognostic factor in spinal cord DCS.
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KEYWORD
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Spinal cord decompression sickness, Headache
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