Clinical Neuroscience

[Nerve damage in caisson workers]

RÓZSAHEGYI István1, ROTH Bedrich1

NOVEMBER 01, 1965

Clinical Neuroscience - 1965;18(11)

[The high sensitivity of the central nervous system to decompression trauma is evident, and damage can occur not only during manifest neurological disease, but also latently, behind the onset of other forms of disease, or even without any manifest symptoms of decompression. The only effective causal therapy for decompression sickness of the central nervous system is recompression, carried out in a timely manner, with great care and, if necessary, with persistent patience. After unsuccessful recompression, the prospects for recovery are poor; permanent damage is caused and can lead to both somatic and functional psychiatric pathologies. In view of the risk of serious and permanent neurological lesions, the most careful prevention and therapy is essential. Among the preventive measures to be considered is limiting the length of time spent under hyperbaric pressure to prevent saturation of the slowly saturating lipid-containing tissues. The rate of evisceration should be strictly adhered to as prescribed. The implementation of recompression is the decisive factor in the therapy: after successful recompression, very slow decompression and, if necessary, oxygen inhalation should be used. In the compensation of occupational diseases in caisson workers, the possibility of an organic origin of functional conditions should also be considered. ]

AFFILIATIONS

  1. Országos Munkaegészségügyi Intézet, Budapest és a Károly Tudományegyetem Orvosi Fakultásának Neurológiai Klinikája, Prága

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