Brain MRI signal abnormalities and right-to-left shunting in asymptomatic military divers

Aviation Space and Environmental Medicine

Volumn 81, Issue 11, 2010, Pages 1008-1012

  Gempp, Emmanuel ^a   Sbardella, Fabrice ^a   Stephant, Eric ^a   Constantin, Pascal ^a   De Maistre, Sebastien ^a   Louge, Pierre ^a   Blatteau, Jean Eric ^a  

^a Ste Anne's Military Hospital   (France)

Author keywords

Decompression sickness; Diving; Magnetic resonance imaging; Patent foramen ovale

Indexed keywords

ADULT; ARTICLE; BRAIN; BRAIN INJURY; CASE CONTROL STUDY; DIVING; ECHOGRAPHY; HUMAN; INJURY; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PATENT FORAMEN OVALE;

ADULT; BRAIN INJURIES; CASE-CONTROL STUDIES; CEREBRUM; DIVING; FORAMEN OVALE, PATENT; HUMANS; MAGNETIC RESONANCE IMAGING; MALE;

EID: 79951601381     PISSN: 00956562     EISSN: None     Source Type: Journal    
DOI: 10.3357/ASEM.2786.2010     Document Type: Article

References (33)

1. Awad IA, Spetzler RF, Hodak JA, Awad CA, Carey R. Incidental subcortical lesions identified on magnetic resonance imaging in the elderly. A correlation with age and cerebrovascular risk factors. Stroke 1986; 17: 1084-9. (Pubitemid 17008934)
2. Balestra C, Germonpré P, Marroni A, Farkas B, Peetrons P, et al. The fractal approach as a tool to understand asymptomatic brain hyperintense MRI signals. In: Hyldegaard O, ed. Proceedings of the 29th Annual Meeting of the European Underwater and Baromedical Society on Diving and Hyperbaric Medicine. Copenhagen, Denmark: EUBS; 2003: 69-74.
3. Christin F, Bouffard Y, Rossi R, Delafosse B. Paradoxical symptomatic air embolism after saline contrast transesophageal echocardiography. Echocardiography 2007; 24: 867-9. (Pubitemid 47346742)
4. Chryssanthou C, Springer M, Lipschitz S. Blood-brain and bloodlung barrier alteration by dysbaric exposure. Undersea Biomed Res 1977; 4: 117-29. (Pubitemid 8125330)
5. Cordes P, Keil R, Bartsch T, Tetzlaff K, Reuter M, et al. Neurologic outcome of controlled compressed-air diving. Neurology 2000; 55: 1743-5.
6. Dutka AJ. Long term effects on the central nervous system. In: Brubakk AO, Neuman TS, eds. Bennett and Elliot's physiology and medicine of diving, 5 th ed. London: WB Saunders; 2003: 680-99.
7. Erdem I, Yildiz S, Uzun G, Sonmez G, Senol MG, et al. Cerebral white-matter lesions in asymptomatic military divers. Aviat Space Environ Med 2009; 80: 2-4.
8. Fazekas F. Magnetic resonance signal abnormalities in asymptomatic individuals: their incidence and functional correlates. Eur Neurol 1989; 29: 164-8. (Pubitemid 19139398)
9. Gempp E, Blatteau JE, Stéphant E, Louge P. Relation between right-to-left shunts and spinal cord decompression sickness in divers. Int J Sports Med 2009; 30: 150-3.
10. Germonpre P, Balestra C, Masay L, Broissin S, Michel K, et al. Correlation between patent foramen ovale, cerebral MRI lesions and neuropsychometric testing in experienced sports divers. In: Hyldegaard O, ed. Proceedings of the 29th Annual Meeting of the European Underwater and Baromedical Society on Diving and Hyperbaric Medicine. Copenhagen, Denmark: EUBS; 2003: 61-4.
11. Gerriets T, Tetzlaff K, Hutzelmann A, Liceni T, Kopiske G, et al. Association between right-to-left shunts and brain lesions in sport divers. Aviat Space Environ Med 2003; 74: 1058-60. (Pubitemid 37203977)
12. Gerriets T, Tetzlaff K, Liceni T, Schäfer C, Rosengarten B, et al. Arteriovenous bubbles following cold water sport dives: relation to right-to-left shunting. Neurology 2000; 55: 1741-3.
13. Grønning M, Risberg J, Skeidsvoll H, Moen G, Aanderud L, et al. Electroencephalography and magnetic resonance imaging in neurological decompression sickness. Undersea Hyperb Med 2005; 32: 397-402. (Pubitemid 43266260)
14. Hutzelmann A, Tetzlaff K, Reuter M, Müller-Hülsbeck S, Heller M. Does diving damage the brain? MR control study of divers' central nervous system. Acta Radiol 2000 ; 41: 18-21.
15. Kerut EK, Truax WD, Borreson TE, Van Meter KW, Given MB, Giles TD. Detection of right to left shunts in decompression sickness in divers. Am J Cardiol 1997; 79: 377-8. (Pubitemid 27093321)
16. Klotzsch C, Janssen G, Berlit P. Transesophageal echocardiography and contrast-TCD in the detection of a patent foramen ovale: experiences with 111 patients. Neurology 1994; 44: 1603-6. (Pubitemid 24286633)
17. Knauth M. Long-term neurologic damage and brain lesions in recreational divers. Clin Neuroradiol 2008; 18: 54-9. (Pubitemid 351428538)
18. Koch AE, Kampen J, Tetzlaff K, Reuter M, McCormack P, et al. Incidence of abnormal cerebral findings in the MRI of clinically healthy divers: Role of a patent foramen ovale. Undersea Hyperb Med 2004; 31: 261-8. (Pubitemid 39225046)
19. Levin HS, Goldstein FC, Norcross K, Amparo EG, Guinto FC, et al. Neurobehavioral and magnetic resonance imaging findings in two cases of decompression sickness. Aviat Space Environ Med 1989; 60: 1204-10. (Pubitemid 20039030)
20. Muyard B, Hautbois E, Huot P, Taillemite J-P, Guivarch C, et al. Recherche de lésions cérébrales latentes chez les plongeurs de la marine nationale [Screening for latent cerebral lesions in French Navy divers. Results of a MRI study]. Med Armees 1999; 27: 385-9 (French).
21. Palmer AC, Calder IM, Yates PO. Cerebral vasculopathy in divers. Neuropathol Appl Neurobiol 1992; 18: 113-24.
22. Peters BH, Levin HS, Kelly PJ. Neurologic and psychologic manifestations of decompression illness in divers. Neurology 1977; 27: 125-7. (Pubitemid 8044317)
23. Reul J, Weis J, Jung A, Willmes K, Thron A. Central nervous system lesions and cervical disc herniations in amateur divers. Lancet 1995; 345: 1403-5.
24. Ries S, Knauth M, Kern R, Klingmann C, Daffertshofer M, et al. Arterial gas embolism after decompression: correlation with right-to-left shunting. Neurology 1999; 52: 401-4. (Pubitemid 29059075)
25. Rinck PA, Svihus R, de Francisco P. MR imaging of the central nervous system in divers. J Magn Reson Imaging 1991; 1: 293-9.
26. Scheltens P, Barkhof F, Leys D, Pruvo JP, Nauta JJ, et al. A semiquantative rating scale for the assessment of signal hyperintensities on magnetic resonance imaging. J Neurol Sci 1993; 114: 7-12. (Pubitemid 23025201)
27. Schwerzmann M, Seiler C, Lipp E, Guzman R, Lövblad KO, et al. Relation between directly detected patent foramen ovale and ischemic brain lesions in sport divers. Ann Intern Med 2001; 134: 21-4. (Pubitemid 32037339)
28. Sipinen SA, Ahovuo J, Halonen JP. Electroencephalography and magnetic resonance imaging after diving and decompression incidents: a controlled study. Undersea Hyperb Med 1999; 26: 61-5.
29. Tetzlaff K, Friege L, Hutzelmann A, Reuter M, Höll D, et al. Magnetic resonance signal abnormalities and neuropsychological defi cits in elderly compressed-air divers. Eur Neurol 1999; 42: 194-9. (Pubitemid 29537298)
30. Todnem K, Skeidsvoll H, Svihus R, Rinck P, Riise T, et al. Electroencephalography, evoked potentials and MRI brain scans in saturation divers. An epidemiological study. Electroencephalogr Clin Neurophysiol 1991; 79: 322-9.
31. Tripodi D, Dupas B, Potiron M, Louvet S, Geraut C. Brain magnetic resonnance imaging, aerobic power, and metabolic parameters among 30 asymptomatic scuba divers. Int J Sports Med 2004; 25: 575-81. (Pubitemid 39518134)
32. Vaernes RJ, Eidsvik S. Central nervous dysfunctions after near miss accidents in diving. Aviat Space Environ Med 1982; 53: 803-7. (Pubitemid 12017898)
33. Yanagawa Y, Okada Y, Terai C, Ikeda T, Ishida K, et al. MR imaging of the central nervous system in divers. Aviat Space Environ Med 1998; 69: 892-5.