Brain Seizure Activity and Diving

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DocVikingo -

Thanks for the post. I understand the difficulties with being lay reader. Luckily I have a few friends who are physicians and, while not neurologists, are willing to help me sort through what I don't understand (my children seem to collect medical doctors as their god-parents for some reason :) )

My specific CPT / ICD-9 code is 310.2 . . . which when I read it seems general enough to not really tell me much at all . . .
 
My pleasure.

Yes, while Postconcussion syndrome appears to be a perfectly defensible classification given the reported specifics, it indeed doesn't inform well regarding such important issues as prognosis.

In any event, given your determination and involvement, and hopefully competent neurological attention, matters should eventually become much more clear.

Regards,

DocVikingo
 
Let me preface my post by saying that I have always been a very aggressive medical person (think House, MD) and it often stems from everyone else trying to CYA due to litigation possibility. I believe the majority of people's responses these days are for CYA purposes.

What you describe, is probably occuring with other people as a base line. They just didn't have a sentinel event that caused them to actually find out they had those symptoms. Similar symptoms can be found with someone who drinks before diving. Can they die too, yes. Can they do something stupid underwater, yes. Can a diabetic have issues underwater, yes. Is your sense of excitement and adventure worth those minority chances, that your were probably taking before and just weren't aware of? For me, YES!

Whats the worse that can happen? Well I guess your 2-3 second seizure can go status and you die underwater. Do I think that the diving environment will affect you differently than your everyday life? No. Do I think that if you blow the recommendations that prevent DCS that something can go wrong, yes! Hey look at it physically, while an air embolism in the brain, causes a blockage so that oxygen can not flow to a portion of the brain, in the area of your aneurysm its slightly bigger, could just be the life saver in your case. Bubble will slip right by or maybe even break down as it hits the edge of that aneurysm. Is nitrox a restriction? I would say Nitrox would probably help, the increased oxygen, might help you out if you had an air embolism, at least your brain was saturated with more oxygen that is normal when someone strokes out...maybe that will buy you extra time.

Bottom line is, no one can give you an exact answer. Not a neurologist who is also a diver. We just don't know. As one doc pointed out, the pressure gradient is not going to affect it. He mentioned other activities which might make it worse...so sure if you have a seperate event underwater which causes high stress, then that might make a difference, but probably not. However, you are just as well informed searching the net for articles as asking people on here, but I guarantee that people on here will say, "Oh my god!, you are crazy for diving!" Its beacause they don't know and that is the default answer, but as previously stated there are plenty of other conditions that people dive in that are much worse, like drinking and diving and I am sure people do that all the time too. I don't condone it and again, you MIGHT DIE!

My best resource, since I am baltimore, MD based, is the Adam R Cowley Shock Trauma Center. They are leading the way in critical care treatment across the world. They are always happy to answer questions posed to them. Dr. Robert Rosenthal is currently in charge of hyperbaric medicine at Shock Trauma and has access to loads of resources in every field and how it relates to dive theory. His contact information is:
rrosenthal@umm.edu
(410) 328-6152
Shock Trauma Center PBG02

Research Specialties:
1) Global and Focal Cerebral Ischemia: Evaluation of novel neuroprotective strategies in both the pre-clinical and clinical settings.
2) Traumatic Brain Injury: Development of novel pre-clinical models for the study of TBI
 
Hello,

I can't answer your question from a medical perspective but I can tell you what my experience has been. 8 months ago I suffered a TBI due to a motorcycle accident. I had seizure like symptoms 5 weeks after the accident, which prompted a CT scan and ultimately having burr holes drilled in my head to drain a sub dermal hematoma.

I had mood swings in a big way but they went away about 4 months after the accident.

I would find another neurologist; the answer he gave you is inadequate at best. My neurologist told me if I go 6 months without any seizure type activity then my risk of seizure is the same as it would have been prior to my TBI.

TBI is a difficult thing for the patient and their families. PM me if you would like more info regarding my experience.

Hang in there,

Tyler
 
https://www.shearwater.com/products/peregrine/

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