Jan Moore H, Jankosky Christopher J
U.S Naval Medical Center Portsmouth, Portsmouth, VA 23701, USA.
Aviat Space Environ Med. 2003 Feb;74(2):184-6.
A case of clinically definite multiple sclerosis presenting as neurological decompression sickness is presented. A 23-yr-old U.S. Navy diver experienced onset of hypesthesia of the left upper trunk approximately 19 h after making two SCUBA dives. She did not seek medical attention until 3 wk later, at which time she was diagnosed with possible neurological decompression sickness. She was treated with hyperbaric oxygen, but demonstrated no improvement. Further evaluation led to the diagnosis of multiple sclerosis. This case underscores the potential similarity in neurological presentation between multiple sclerosis and decompression sickness. The differential diagnosis of neurological decompression sickness, particularly in atypical cases, should include multiple sclerosis. The appropriateness of medically clearing multiple sclerosis patients for diving is discussed.
本文报告一例表现为神经型减压病的临床确诊多发性硬化症病例。一名23岁的美国海军潜水员在进行两次水肺潜水后约19小时，出现左上干感觉减退。直到3周后她才就医，当时被诊断为可能的神经型减压病。她接受了高压氧治疗，但没有改善。进一步评估后诊断为多发性硬化症。该病例强调了多发性硬化症和减压病在神经学表现上的潜在相似性。神经型减压病的鉴别诊断，尤其是非典型病例，应包括多发性硬化症。本文还讨论了让多发性硬化症患者通过医学评估后进行潜水的适宜性。
