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<meta name="DC.Description" content="Diving accidents related to barotrauma constitute a unique subset of ischemic insults to the CNS. Victims may demonstrate components of arterial gas embolism, which has a propensity for cerebral involvement, and/or decompression sickness, with primarily spinal cord involvement. Fourteen patients with diving-related barotrauma were studied with MR imaging of the brain and spinal cord and with CT of the brain. In four patients with presumed cerebral gas embolism, cranial MR was abnormal in three patients while CT was abnormal in only one. Twelve patients had decompression sickness and spinal cord symptoms. MR documented spinal cord abnormalities in three patients. However, scans obtained early in our study were frequently limited by technical constraints.

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      <h1 class="highwire-cite-title" id="page-title">Neuroimaging of Scuba Diving Injuries to the CNS</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">L. Patrick Warren</span>, <span class="highwire-citation-author" data-delta="1">William T. Djang</span>, <span class="highwire-citation-author" data-delta="2">Richard E. Moon</span>, <span class="highwire-citation-author" data-delta="3">Enrico M. Camporesi</span>, <span class="highwire-citation-author" data-delta="4">D. Skip Sallee</span>, <span class="highwire-citation-author" data-delta="5">Douglas C. Anthony</span>, <span class="highwire-citation-author" data-delta="6">E. Wayne Massey</span>, <span class="highwire-citation-author" data-delta="7">Peter C. Burger</span> and <span class="highwire-citation-author" data-delta="8">E. Ralph Heinz</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">September 1988,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">9 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(5) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">933-938; </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-13675--61086228942" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">L. Patrick Warren <span class="nlm-suffix">Jr.</span></div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>1</span>Department of Radiology, Box 3808, and the F. G. Hall Laboratory for Environmental Research, Duke University Medical Center, Durham, NC 27710. Address reprint requests to W. T. Djang</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=L.%2BPatrick%2BWarren%2B%3Cspan%2Bclass%3D%22nlm-suffix%22%3EJr.%3C/span%3E" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Warren%20LP&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AL.%2BPatrick%2BWarren%2BJr." rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">William T. Djang </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>1</span>Department of Radiology, Box 3808, and the F. G. Hall Laboratory for Environmental Research, Duke University Medical Center, Durham, NC 27710. Address reprint requests to W. T. 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Moon </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>2</span>Department of Anesthesiology and the F. G. Hall Laboratory for Environmental Research, Duke University Medical Center, Durham, NC 27710</div><div class='author-affiliation'><span class='nlm-sup'>3</span>Department of Medicine and the F. G. Hall Laboratory for Environmental Research, Duke University Medical Center, Durham, NC 27710</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Richard%2BE.%2BMoon%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Moon%20RE&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3ARichard%2BE.%2BMoon%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-3"><div class="author-tooltip-name">Enrico M. Camporesi </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>2</span>Department of Anesthesiology and the F. G. Hall Laboratory for Environmental Research, Duke University Medical Center, Durham, NC 27710</div><div class='author-affiliation'><span class='nlm-sup'>4</span>Department of Physiology and the F. G. Hall Laboratory for Environmental Research, Duke University Medical Center, Durham, NC 27710</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Enrico%2BM.%2BCamporesi%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Camporesi%20EM&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AEnrico%2BM.%2BCamporesi%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-4"><div class="author-tooltip-name">D. Skip Sallee </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>1</span>Department of Radiology, Box 3808, and the F. G. Hall Laboratory for Environmental Research, Duke University Medical Center, Durham, NC 27710. Address reprint requests to W. T. 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Wayne Massey </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>3</span>Department of Medicine and the F. G. 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<p id="p-1">Diving accidents related to barotrauma constitute a unique subset of ischemic insults to the CNS. Victims may demonstrate components of arterial gas embolism, which has a propensity for cerebral involvement, and/or decompression sickness, with primarily spinal cord involvement. Fourteen patients with diving-related barotrauma were studied with MR imaging of the brain and spinal cord and with CT of the brain. In four patients with presumed cerebral gas embolism, cranial MR was abnormal in three patients while CT was abnormal in only one. Twelve patients had decompression sickness and spinal cord symptoms. MR documented spinal cord abnormalities in three patients. However, scans obtained early in our study were frequently limited by technical constraints.</p>
<p id="p-2">MR of the brain is more sensitive than conventional CT scanning techniques in detecting and characterizing foci of cerebral ischemia caused by embolic barotrauma to the CNS. Although spinal MR may be less successful in the localization of spinal cord lesions related to decompression sickness, these lesions were previously undetectable by other neuroimaging methods.</p>
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          <a href="/content/9/5" class="highwire-cite-linked-title" data-icon-position="" data-hide-link-title="0"><span class="highwire-cite-title">American Journal of Neuroradiology</span></a>      
      
        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 9</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 5 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Sep 1988 </div></div>
      
      
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Sep 1988, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">9 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(5) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">933-938; </span></div>
  
  
  
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Sep 1988, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">9 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(5) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">933-938; </span></div>
  
  
  
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