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J Korean Soc Emerg Med > Volume 14(5); 2003 > Article
Journal of The Korean Society of Emergency Medicine 2003;14(5): 690-693.
A Case of Cerebral Arterial Gas Embolism after SCUBA Diving
Jung Soo Park, Yeon Ho You, Seung Woo Hong, Sung Pil Chung, Seung Whan Kim, In Sool Yoo
Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Korea. emstar@cnuh.co.kr
ABSTRACT
Pulmonary barotrauma during ascent is a common complication in SCUBA diving. One of the most severe forms of pulmonary barotrauma is a cerebral arterial gas embolism(CAGE). It is reported to account for about 30% of diving related deaths. The early recognition of CAGE is very important for the emergency physician because prompt hyperbaric recompression therapy can improve the clinical course. Thus, the emergency physician should know the clinical manifestation of CAGE to apply several treatment modalities early. We report a case of cerebral arterial gas embolism presented with hemiparesis and blurred vision immediately after SCUBA diving at 13 meters.
Key words: Cerebral arterial, Gas embolism, Barotrauma, Therapy
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