Relation Between Right-to-Left Shunts and Spinal Cord Decompression Sickness in Divers. - SSA - Service de santé des armées Access content directly
Journal Articles International Journal of Sports Medicine Year : 2008

Relation Between Right-to-Left Shunts and Spinal Cord Decompression Sickness in Divers.

Abstract

The role of right-to-left shunting (RLS) in spinal cord decompression sickness (DCS) remains uncertain and could differ according to the distribution of lesion in spinal cord with a higher risk of upper spinal cord involvement in divers presenting a large patent foramen ovale. The aims of this study were to assess the prevalence of RLS with transcranial doppler ultrasonography in 49 divers referred for spinal cord DCS and compare it with the prevalence of RLS in 49 diving controls, and to determine a potential relation between RLS and lesion site of spinal cord. The proportion of large RLS was greater in DCS divers than in healthy control divers (odds ratio, 3.6 [95 % CI, 1.3 to 9.5]; p = 0.017). Shunting was not associated with the increased incidence of cervical spinal cord DCS (OR, 1.1 [95 % CI, 0.3 to 3.9]; p = 0.9) while a significant relationship between large RLS and spinal cord DCS with thoracolumbar involvement was demonstrated (OR, 6.9 [95 % CI, 2.3 to 20.4]; p < 0.001). From the above results, we conclude that the risk of spinal cord DCS in divers with hemodynamically relevant RLS is higher than in divers without RLS, particularly in their lower localization.
Fichier principal
Vignette du fichier
table_1.pdf (13.66 Ko) Télécharger le fichier
article_IJSM_revision_2.pdf (87.91 Ko) Télécharger le fichier
table_2.pdf (15.56 Ko) Télécharger le fichier
Origin : Files produced by the author(s)
Origin : Files produced by the author(s)
Origin : Files produced by the author(s)

Dates and versions

ssa-00322736 , version 1 (18-09-2009)

Identifiers

Cite

E. Gempp, J.-E. Blatteau, E. Stephant, P. Louge. Relation Between Right-to-Left Shunts and Spinal Cord Decompression Sickness in Divers.. International Journal of Sports Medicine, 2008, epub ahead of print. ⟨10.1055/s-2008-1038844⟩. ⟨ssa-00322736⟩

Collections

SSA
248 View
458 Download

Altmetric

Share

Gmail Facebook X LinkedIn More