Lesión medular por enfermedad descompresiva. A propósito de un caso

Introduction. Neurological involvement in due to decompression disease accounts for 60 % of immersion accidents. Bone marrow injury accounts for 10 % to 30 % of them. The purpose of the present clinical case is to describe the diagnostic and therapeutic procedure for a patient to suffers a bone marrow injury after a decompression accident. Clinical case. We provide the case of a subject who practiced scuba diving, and made a rapid ascent without adequate decompression stops. After being treated in a hyperbaric chamber, he had a complete bone marrow injury motor level C8 and sensitive level D2, ASIA A (American Spinal Cord Injury Association). The magnetic nuclear resonance imaging showed an ischemic lesion in the posterior cord of the cervical dorsal segments of the spinal cord. Discussion. When a patient has symptoms of decompression disease, it is essential to transfer the patient to a hyperbaric chamber in the early hours to reduce the nitrogen oversaturation that the body is subjected to.