Document Detail


Weber's syndrome and sixth nerve palsy secondary to decompression illness: a case report.
MedLine Citation:
PMID:  15926301     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the first case of Weber's Syndrome to present as a manifestation of decompression illness in a recreational scuba diver. Weber's Syndrome is characterized by the presence of an oculomotor nerve palsy and contralateral hemiparesis. The patient was a 55 year-old male with a past medical history of a pulmonary cyst, in whom symptoms developed after a multilevel drift dive to a depth of 89 feet for 53 minutes, exceeding no-decompression limits. Symptom onset was within 30 minutes of surfacing and included the Weber's Syndrome, a sixth nerve palsy, dizziness, nausea, sensory loss, and ataxia. The patient received four U.S. Navy Treatment Tables with complete resolution of all neurological signs and symptoms. The mechanism of injury remains unclear, but may involve aspects of both air gas embolism and decompression sickness. Individuals with pre-existing pulmonary cysts may be at increased risk for dive-related complications.
Authors:
W Padilla; H B Newton; S Barbosa
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc     Volume:  32     ISSN:  1066-2936     ISO Abbreviation:  Undersea Hyperb Med     Publication Date:    2005 Mar-Apr
Date Detail:
Created Date:  2005-06-01     Completed Date:  2005-06-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9312954     Medline TA:  Undersea Hyperb Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  95-101     Citation Subset:  IM; S    
Affiliation:
Hyperbaric Medicine Unit, Subaquatic Safety Services, Cozumel, Mexico.
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MeSH Terms
Descriptor/Qualifier:
Abducens Nerve Diseases / etiology*
Ataxia / etiology
Cysts / complications
Decompression Sickness / complications*
Diving / adverse effects
Dizziness / etiology
Humans
Lung Diseases / complications
Male
Middle Aged
Nausea / etiology
Ophthalmoplegia / etiology*
Sensation Disorders / etiology
Syndrome
Grant Support
ID/Acronym/Agency:
CA 16058/CA/NCI NIH HHS

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


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