Document Detail

Mononeuropathy of the medial branch of the deep peroneal nerve in a scuba diver.
MedLine Citation:
PMID:  10442689     Owner:  NLM     Status:  MEDLINE    
Peripheral mononeuropathies occur only rarely in association with decompression illness. The sites previously reported to be affected are areas of potential entrapment in which a peripheral nerve traverses a confined area. In these instances, the pathophysiology has been presumed to be mechanical pressure in an enclosed space by a gas bubble. A rare case is now presented of a peripheral mononeuropathy of the medial branch of the deep peroneal nerve in a scuba diver following surfacing from a 195 foot dive. This case differs from prior reports of mononeuropathy in association with decompression illness in that the affected nerve does not traverse a confined site in which mechanical compression by a gas bubble is likely. The mechanism of injury is hypothesized to be a manifestation of decompression illness with a gas bubble causing blood flow obstruction and an ischemic infarct.
H W Sander
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the peripheral nervous system : JPNS     Volume:  4     ISSN:  1085-9489     ISO Abbreviation:  J. Peripher. Nerv. Syst.     Publication Date:  1999  
Date Detail:
Created Date:  1999-09-14     Completed Date:  1999-09-14     Revised Date:  2006-11-07    
Medline Journal Info:
Nlm Unique ID:  9704532     Medline TA:  J Peripher Nerv Syst     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  134-7     Citation Subset:  IM    
Department of Neurology, Saint Vincents Hospital of New York, NY 10011, USA.
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MeSH Terms
Athletic Injuries / physiopathology*
Diving / adverse effects*
Inert Gas Narcosis / etiology
Peripheral Nervous System Diseases / etiology,  physiopathology*
Peroneal Nerve / physiopathology*
Toes / innervation
Reg. No./Substance:
0/Gases; 7727-37-9/Nitrogen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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