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  • Title: Desbaric air embolism during diving: an unusual complication of Osler-Weber-Rendu disease.
    Author: Hsu YL, Wang HC, Yang PC.
    Journal: Br J Sports Med; 2004 Aug; 38(4):E6. PubMed ID: 15273199.
    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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