Document Detail

A case of spinal epidural haematoma during breath-hold diving.
MedLine Citation:
PMID:  22828819     Owner:  NLM     Status:  In-Data-Review    
Spinal epidural haematoma (SEH) is a rare condition usually the result of bleeding of the epidural venous plexus that might present with acute spinal cord compression. It is often due to traumatic events, but 'spontaneous' cases have been described, usually related to different predisposing conditions, such as coagulopathies. A 47-year-old male presented with severe frontal headache and intense cervical pain which developed during a protracted breath-hold spearfishing session. A cervical spine MRI performed 12 days after symptom onset showed a small epidural blood collection on the left side of the spinal canal, at the C7-T1 level. One week later, blood was no longer present and the asymptomatic patient was discharged. Protracted minor trauma (neck flexion) and repeated Valsalva manoeuvres might have played a role in the genesis of this event. The role of decompression sickness is discussed as well.
Lucio Tremolizzo; Mirko Patassini; Massimo Malpieri; Carlo Ferrarese; Ildebrando Appollonio
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diving and hyperbaric medicine : the journal of the South Pacific Underwater Medicine Society     Volume:  42     ISSN:  1833-3516     ISO Abbreviation:  Diving Hyperb Med     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101282742     Medline TA:  Diving Hyperb Med     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  98-100     Citation Subset:  IM    
Department of Neurology, San Gerardo Hospital Monza and University of Milano-Bicocca, Section of Neurology DNTB University of Milano-Bicocca, S.Gerardo Hospital, Via Pergolesi 33, 20052 Monza (MI), Italy, Phone: +39-(0)2-6448-8128, Fax: +39-(0)2-6448-8108, E-mail:
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