Acute Carpal Tunnel Syndrome in a diver:
evidence of peripheral Nervous system Involvement in decompression
illness.
Isakov AP, Broome JR, Dutka AJ
Naval medical
Research Institute, Bethesda Maryland, USA
Conclusive evidence
for involvement of the peripheral nervous system in decompression
illness is lacking. We report a case of decompression Illness
associated with shoulder pain and the clinical features of Median
nerve injury at the wrist Initial recompression and Hyperbaric
Oxygen treatment produced prompt relief of all symptoms and signs.
Hyperbaric oxygenation and neurological
recovery in children with organic brain damage MEDLINE (R)
1999/01-1999/02 Cordoba-Cabeza-T; Perez-Fonseca-R; Morales-Vargas-D;
Lopez-A: Oxigenacion hiperbarica y restauracion neurologica en ninos
con dano cerebral organico. Rev-Neurol. 1998 Oct; 27(158): 571-4
INTRODUCTION AND OBJECTIVE:
In
order to determine the effects of hyperbaric oxygenation, 14 Cuban
children (8 boys and 6 girls) with affected lesions on the Central
Nervous System (CNS), were prospectively studied between September
1994 and September 1995; the patients came from the external
consultation of Neuropediatric of the Academic Pediatrics Hospital,
Tuna Martyrs, Cuba.
PATIENTS AND METHODS:
They
were evaluated from the neuropediatric and neurophysiologic point of
view and submitted to treatment with hyperbaric oxygenation (HBO).
Five patients showed a injury to the CNS by severe asphyxia, seven
by generalized infections of CNS, one patient with cerebral damage
by craneoencephalic traumatism and other with vasoclusive cerebral
crisis of siclemic. The average age of the children was of 4.8 +/-
3.4 years. The symptoms and signs were depending on the type on
cerebral damage and its evolution. 100% of the children presented
infantile cerebral paralysis (ICP) and epilepsy, most of the
children were in treatment with antiepileptic drugs, buy they
weren't balanced.
RESULTS AND
CONCLUSIONS:
Satisfactory response was observed
in patients that were oxygenated within the first year of the
lesion, with better and faster results.