Asunto(s)
Degeneración Corticobasal , Demencia , Demencia/complicaciones , Demencia/diagnóstico , HumanosRESUMEN
Middle ear barotrauma is common in diving. However, facial nerve baroparesis is a relatively rare complication. A dehiscent facial nerve canal may be a predisposing factor to developing this complication. Although there is an increasing number of facial baroparesis cases in the literature, they are likely still under-reported. In order to avoid unnecessary recompression treatments or detrimental effects to a professional diver's career, it is important to consider this in the differential diagnosis while evaluating dive injuries. This case report describes recurrent facial baroparesis in a military diver, which manifested on contralateral sides of his face. His initial presentation was misdiagnosed as an arterial gas embolism, which led to recompression treatment and a cardiac procedure. Upon recurrence about one year later, a complete work-up was done, which included an ENT evaluation and a CT scan. Imaging demonstrated a predisposing anatomic variant bilaterally. His symptoms resolved quickly and spontaneously both times, and he has been able to return to diving.
Asunto(s)
Barotrauma/complicaciones , Buceo/efectos adversos , Parálisis Facial/etiología , Adulto , Barotrauma/diagnóstico , Enfermedad de Descompresión/diagnóstico , Errores Diagnósticos , Embolia Aérea/diagnóstico , Nervio Facial/diagnóstico por imagen , Foramen Oval Permeable/diagnóstico , Humanos , Masculino , Personal Militar , Recurrencia , Reinserción al Trabajo , Agua de Mar , Hueso Temporal/diagnóstico por imagenRESUMEN
We examined the King-Devick (K-D) test, a vision-based test of rapid number naming, as a complement to components of the Sport Concussion Assessment Tool, 3rd edition (SCAT3) for diagnosis of concussion. Baseline and postconcussion data for the University of Florida men's football, women's soccer, and women's lacrosse teams were collected, including the K-D test, Standardized Assessment of Concussion (SAC), and Balance Error Scoring System (BESS). Among 30 athletes with first concussion during their athletic season (n = 217 total), differences from baseline to postinjury showed worsening of K-D time scores in 79%, while SAC showed a ≥2-point worsening in 52%. Combining K-D and SAC captured abnormalities in 89%; adding the BESS identified 100% of concussions. Adding a vision-based test may enhance the detection of athletes with concussion.