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Journal of the Korean Academy of Rehabilitation Medicine 1992;16(3):291-294.
Spinal cord injury in the type II decompression sickness.
Kim, Kyoung Soo , Ko, Hyun Yoon
Department of Rahabilitation Medicine, Kosin Medical College
중증감압병(Type Ⅱ Decompression Sickness)에 의한 척수손상
김경수, 고현윤
고신대학 의학부 재활의학교실
Abstract

Decompression sickness is commonly divided into two types on the basis of the severity of clinical signs. The manifestations of Type Ⅱ decompression sickness are more serious and those involving the central nervous system. Patients with spinal cord injury in Type Ⅱ decompression sickness, were assigned a neurological level of injury, severity of injury, and level of ambulation. Among the 46 cases of Type II decompression sickness, spinal cord involvements were present in 69.6%(n=32:27 males, 5 females; mean age=33.5 years). Fourteen(43.8%) subjects had neurological level of injury to the lower thoracic cord. 7(21.9%) cervical cord, 5 midthoracic cord, 3 upper thoracic cord, and 3 subjects were injury level to the lumbar cord. The degree of incompleteness as reflected in the Frankel grades of incompleteness showed that 15(46.9%) subjects were Frankel D, 8 Frankel C, 8 Frankel E, 1 Frankel B, and none was Frankel A. We paid particular attention to ambulation level. Functional community walker was recorded in 24(75.0%) subjects, functional household walker in 6(18.8%) and 2(6.3%) subjects remained nonfunctional walker.

Key Words: Decompression sickness, Type II, Spinal cord injury


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