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Occup Med (Lond). 2015 Dec;65(9):758-60. doi: 10.1093/occmed/kqv145. Epub 2015 Sep 23.

Brown-Séquard syndrome: a rare manifestation of decompression sickness.

Author information

1
Department of Diving and Hyperbaric Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 81342, Taiwan, Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan, Division of Neurology, Department of Internal Medicine, Hualien Armed Forces General Hospital, Hualien 97144, Taiwan.
2
Department of Diving and Hyperbaric Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 81342, Taiwan, Division of Family Medicine, Department of Community Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 81342, Taiwan.
3
Department of Diving and Hyperbaric Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 81342, Taiwan, Division of Plastic Surgery, Department of Surgery, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 81342, Taiwan.
4
Department of Diving and Hyperbaric Medicine, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 81342, Taiwan, a100404205@yahoo.com.tw.

Abstract

Neurological decompression sickness (DCS) is a rare condition that commonly leads to spinal cord injury. We report the case of a 30-year-old man who developed left-sided weakness and numbness after diving to a maximum depth of 15 m with a total dive time of 205min (10 repetitive dives). To the best of our knowledge, only six cases diagnosed as Brown-Séquard syndrome caused by DCS have been reported in the literature. Divers should be aware of the risk factors of DCS before diving and clinicians should make the diagnosis of spinal cord DCS based primarily on clinical symptoms, not on magnetic resonance imaging findings.

KEYWORDS:

Brown-Séquard syndrome; decompression sickness; diving; hyperbaric oxygen.

PMID:
26400970
DOI:
10.1093/occmed/kqv145
[Indexed for MEDLINE]

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