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. ]


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



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Clinical Neuroscience

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[Spinal paralysis caused by electrical trauma in cats]

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[Authors have observed spinal paralysis in a cat caused by 220 V electric shock. The condition is thought to be related to Panse's spinal atrophic paralysis. The clinical presentation of the case is supported by histopathological studies. The expected neurological consequences of electrocution are reviewed, and the pathology and pathomechanism of electrocution are discussed. The development of Panse's syndrome is associated with the specific vascularity of the spinal cord, based on the conclusions drawn from their case. We would like to thank Ernő Guzsal, assistant professor, for the preparation of the microphotographs. ]

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Introduction - Coronavirus disease 2019 (COVID-19) is a respiratory infection that has rapidly become a global pandemic and vaccines against SARS-CoV-2 have been developed with great success. In this article, we would like to present a patient who developed Guillain-Barré syndrome (GBS), which is a serious complication after receiving the inactive SARS-CoV-2 vaccine (CoronaVac). Case report – A 76-year-old male patient presented to the emergency department with nine days of progressive limb weakness. Two weeks prior to admission, he received the second dose of CoronaVac vaccine. Motor examination revealed decreased extremity strength with 3/5 in the lower extremities versus 4/5 in the upper extremities. Deep tendon reflexes were absent in all four extremities. Nerve conduction studies showed predominantly reduced amplitude in both motor and sensory nerves, consistent with AMSAN (acute motor and sensory axonal neuropathy). Conclusion - Clinicians should be aware of the neuro­logical complications or other side effects associated with COVID-19 vaccination so that early treatment can be an option.