TY - JOUR PY - 2020// TI - Clinical problem solving: mental confusion and hypoxaemia after scuba diving JO - Diving and hyperbaric medicine A1 - Blatteau, Jean-Eric A1 - Morin, Jean A1 - Roffi, Romain A1 - Druelle, Arnaud A1 - Sbardella, Fabrice A1 - Castagna, Olivier SP - 181 EP - 184 VL - 50 IS - 2 N2 - INTRODUCTION: We report a case of a diving accident associating both cerebral symptoms and signs of respiratory impairment after two dives. The objective is to describe the process for obtaining the diagnosis. Case report: A 52-year-old man experienced mental confusion associated with hypoxaemia after surfacing. All decompression procedures were fully respected. The diver had a spatio-temporal disorientation accompanied by a marked tendency to fall asleep spontaneously. He had no dyspnoea and no cough, but crepitations at both lung bases were found with oxygen saturation at 80%. Conclusions: In this clinical case, cerebral magnetic resonance imaging and chest computed tomography scan helped to exclude other pathology that would have necessitated urgent transfer rather than urgent hyperbaric treatment. The imaging is particularly useful in case of cerebral and respiratory symptoms following scuba diving. Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.
Language: en
LA - en SN - 1833-3516 UR - http://dx.doi.org/10.28920/dhm50.2.181-184 ID - ref1 ER -