Brain damage in commercial breath-hold divers.

Acute decompression illness (DCI) involving the brain (Cerebral DCI) is one of the most serious forms of diving-related injuries which may leave residual brain damage. Cerebral DCI occurs in compressed air and in breath-hold divers, likewise. We conducted this study to investigate whether long-term...

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Main Authors: Kiyotaka Kohshi, Hideki Tamaki, Frédéric Lemaître, Toshio Okudera, Tatsuya Ishitake, Petar J Denoble
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4130625?pdf=render
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author Kiyotaka Kohshi
Hideki Tamaki
Frédéric Lemaître
Toshio Okudera
Tatsuya Ishitake
Petar J Denoble
author_facet Kiyotaka Kohshi
Hideki Tamaki
Frédéric Lemaître
Toshio Okudera
Tatsuya Ishitake
Petar J Denoble
author_sort Kiyotaka Kohshi
collection DOAJ
description Acute decompression illness (DCI) involving the brain (Cerebral DCI) is one of the most serious forms of diving-related injuries which may leave residual brain damage. Cerebral DCI occurs in compressed air and in breath-hold divers, likewise. We conducted this study to investigate whether long-term breath-hold divers who may be exposed to repeated symptomatic and asymptomatic brain injuries, show brain damage on magnetic resonance imaging (MRI).Our study subjects were 12 commercial breath-hold divers (Ama) with long histories of diving work in a district of Japan. We obtained information on their diving practices and the presence or absence of medical problems, especially DCI events. All participants were examined with MRI to determine the prevalence of brain lesions.Out of 12 Ama divers (mean age: 54.9±5.1 years), four had histories of cerebral DCI events, and 11 divers demonstrated ischemic lesions of the brain on MRI studies. The lesions were situated in the cortical and/or subcortical area (9 cases), white matters (4 cases), the basal ganglia (4 cases), and the thalamus (1 case). Subdural fluid collections were seen in 2 cases.These results suggest that commercial breath-hold divers are at a risk of clinical or subclinical brain injury which may affect the long-term neuropsychological health of divers.
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spelling doaj.art-4d6821ead7c24f018f5953ac124d6ccf2022-12-22T01:57:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0198e10500610.1371/journal.pone.0105006Brain damage in commercial breath-hold divers.Kiyotaka KohshiHideki TamakiFrédéric LemaîtreToshio OkuderaTatsuya IshitakePetar J DenobleAcute decompression illness (DCI) involving the brain (Cerebral DCI) is one of the most serious forms of diving-related injuries which may leave residual brain damage. Cerebral DCI occurs in compressed air and in breath-hold divers, likewise. We conducted this study to investigate whether long-term breath-hold divers who may be exposed to repeated symptomatic and asymptomatic brain injuries, show brain damage on magnetic resonance imaging (MRI).Our study subjects were 12 commercial breath-hold divers (Ama) with long histories of diving work in a district of Japan. We obtained information on their diving practices and the presence or absence of medical problems, especially DCI events. All participants were examined with MRI to determine the prevalence of brain lesions.Out of 12 Ama divers (mean age: 54.9±5.1 years), four had histories of cerebral DCI events, and 11 divers demonstrated ischemic lesions of the brain on MRI studies. The lesions were situated in the cortical and/or subcortical area (9 cases), white matters (4 cases), the basal ganglia (4 cases), and the thalamus (1 case). Subdural fluid collections were seen in 2 cases.These results suggest that commercial breath-hold divers are at a risk of clinical or subclinical brain injury which may affect the long-term neuropsychological health of divers.http://europepmc.org/articles/PMC4130625?pdf=render
spellingShingle Kiyotaka Kohshi
Hideki Tamaki
Frédéric Lemaître
Toshio Okudera
Tatsuya Ishitake
Petar J Denoble
Brain damage in commercial breath-hold divers.
PLoS ONE
title Brain damage in commercial breath-hold divers.
title_full Brain damage in commercial breath-hold divers.
title_fullStr Brain damage in commercial breath-hold divers.
title_full_unstemmed Brain damage in commercial breath-hold divers.
title_short Brain damage in commercial breath-hold divers.
title_sort brain damage in commercial breath hold divers
url http://europepmc.org/articles/PMC4130625?pdf=render
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