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An Atypical Case of Taravana Syndrome in a Breath-Hold Underwater Fishing Champion: A Case Report

Dysbaric accidents are usually referred to compressed air-supplied diving. Nonetheless, some cases of decompression illness are known to have occurred among breath-hold (BH) divers also, and they are reported in the medical literature. A male BH diver (57 years old), underwater fishing champion, pre...

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Autores principales: Cortegiani, Andrea, Foresta, Grazia, Strano, Giustino, Strano, Maria Teresa, Montalto, Francesca, Garbo, Domenico, Raineri, Santi Maurizio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3736547/
https://www.ncbi.nlm.nih.gov/pubmed/23970902
http://dx.doi.org/10.1155/2013/939704
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author Cortegiani, Andrea
Foresta, Grazia
Strano, Giustino
Strano, Maria Teresa
Montalto, Francesca
Garbo, Domenico
Raineri, Santi Maurizio
author_facet Cortegiani, Andrea
Foresta, Grazia
Strano, Giustino
Strano, Maria Teresa
Montalto, Francesca
Garbo, Domenico
Raineri, Santi Maurizio
author_sort Cortegiani, Andrea
collection PubMed
description Dysbaric accidents are usually referred to compressed air-supplied diving. Nonetheless, some cases of decompression illness are known to have occurred among breath-hold (BH) divers also, and they are reported in the medical literature. A male BH diver (57 years old), underwater fishing champion, presented neurological disorders as dizziness, sensory numbness, blurred vision, and left frontoparietal pain after many dives to a 30–35 meters sea water depth with short surface intervals. Symptoms spontaneously regressed and the patient came back home. The following morning, pain and neurological impairment occurred again and the diver went by himself to the hospital where he had a generalized tonic-clonic seizure and lost consciousness. A magnetic resonance imaging of the brain disclofsed a cortical T1-weighted hypointense area in the temporal region corresponding to infarction with partial hemorrhage. An early hyperbaric oxygen therapy led to prompt resolution of neurological findings. All clinical and imaging characteristics were referable to the Taravana diving syndrome, induced by repetitive prolonged deep BH dives. The reappearance of neurological signs after an uncommon 21-hour symptom-free interval may suggest an atypical case of Taravana syndrome.
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spelling pubmed-37365472013-08-22 An Atypical Case of Taravana Syndrome in a Breath-Hold Underwater Fishing Champion: A Case Report Cortegiani, Andrea Foresta, Grazia Strano, Giustino Strano, Maria Teresa Montalto, Francesca Garbo, Domenico Raineri, Santi Maurizio Case Rep Med Case Report Dysbaric accidents are usually referred to compressed air-supplied diving. Nonetheless, some cases of decompression illness are known to have occurred among breath-hold (BH) divers also, and they are reported in the medical literature. A male BH diver (57 years old), underwater fishing champion, presented neurological disorders as dizziness, sensory numbness, blurred vision, and left frontoparietal pain after many dives to a 30–35 meters sea water depth with short surface intervals. Symptoms spontaneously regressed and the patient came back home. The following morning, pain and neurological impairment occurred again and the diver went by himself to the hospital where he had a generalized tonic-clonic seizure and lost consciousness. A magnetic resonance imaging of the brain disclofsed a cortical T1-weighted hypointense area in the temporal region corresponding to infarction with partial hemorrhage. An early hyperbaric oxygen therapy led to prompt resolution of neurological findings. All clinical and imaging characteristics were referable to the Taravana diving syndrome, induced by repetitive prolonged deep BH dives. The reappearance of neurological signs after an uncommon 21-hour symptom-free interval may suggest an atypical case of Taravana syndrome. Hindawi Publishing Corporation 2013 2013-07-22 /pmc/articles/PMC3736547/ /pubmed/23970902 http://dx.doi.org/10.1155/2013/939704 Text en Copyright © 2013 Andrea Cortegiani et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cortegiani, Andrea
Foresta, Grazia
Strano, Giustino
Strano, Maria Teresa
Montalto, Francesca
Garbo, Domenico
Raineri, Santi Maurizio
An Atypical Case of Taravana Syndrome in a Breath-Hold Underwater Fishing Champion: A Case Report
title An Atypical Case of Taravana Syndrome in a Breath-Hold Underwater Fishing Champion: A Case Report
title_full An Atypical Case of Taravana Syndrome in a Breath-Hold Underwater Fishing Champion: A Case Report
title_fullStr An Atypical Case of Taravana Syndrome in a Breath-Hold Underwater Fishing Champion: A Case Report
title_full_unstemmed An Atypical Case of Taravana Syndrome in a Breath-Hold Underwater Fishing Champion: A Case Report
title_short An Atypical Case of Taravana Syndrome in a Breath-Hold Underwater Fishing Champion: A Case Report
title_sort atypical case of taravana syndrome in a breath-hold underwater fishing champion: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3736547/
https://www.ncbi.nlm.nih.gov/pubmed/23970902
http://dx.doi.org/10.1155/2013/939704
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