Desbaric air embolism during diving: an unusual complication of Osler-Weber-Rendu disease |
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Authors: | Hsu Y-L Wang H-C Yang P-C |
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Affiliation: | Far Eastern Memorial Hospital, Pulmonary and Critical Care Medicine, 2F, No. 25, Lane 461, Chi-Lin Road, Taipei 104, Taiwan. Hsu619@sinamail.com |
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Abstract: | Cerebral manifestations of Osler-Weber-Rendu disease (OWRD, hereditary haemorrhagic telangiectasia) including telangiectases, venous malformations, and arteriovenous malformations, are usually under-recognised. The highest complication rate is observed in high flow cerebral arteriovenous malformations, which may present with headache, epilepsy, ischaemia, or haemorrhage. Cerebral air embolism during self-contained underwater breathing apparatus (scuba) diving as the first manifestation of pulmonary arteriovenous malformation (PAVM) in OWRD patients has never been reported before. Here we report a 31 year old male who presented desbaric air embolism as the first manifestation of PAVM. As far as we know, this is the first such case published in English medical literature. |
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