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KMID : 0857020100250020192
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Kosin Medical Journal
2010 Volume.25 No. 2 p.192 ~ p.196
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Clinical Findings Mismatched with Radioligic and Electrodiagnostic Study in Decompression Sickness: A case report and review
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Sim Young-Joo
Jeong Ho-Joong
Kim Ghi-Chan
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Abstract
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Decompression sickness is divided into 2 types based on clinical symptoms and severity. Type I decompression sickness involves usually the musculoskeletal system and cardiopulmonary system. Type II decompression sickness involves commonly the central nervous system. We experienced a case of type II decompression sickness involving cervical spinal cord. The patient showed hypesthesia below C5 dermatome and quadriplegia. But the whole spinal magnetic resonance image revealed high signal of the spinal cord below T2 levels and electrodiagnostic study showed thoracic cord level lesion. In decompression sickness, diagnosis of injured spinal cord levels is very delicate problem because in some cases clinical symptoms can be unmatched with magnetic resonance findings and electrodiagnostic study. In this kind of case there are little studies of diagnostic tools and prognostic factors. Therefore, focusing on clinical symptoms need to help more proper treatment and provide better prognosis to decompression sickness patients.
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KEYWORD
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Decompression sickness, Spinal cord injury
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