Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m

Jianguang Zhou; Changyun Liu; Yingqi Zhou

doi:doi:10.11648/j.sd.20210901.15

| Peer-Reviewed

Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m

Jianguang Zhou, Changyun Liu, Yingqi Zhou

Published in Science Discovery (Volume 9, Issue 1)

Received: 23 February 2021 Accepted: Published: 12 March 2021

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Objective To provide medical support for deep helium-oxygen saturation diving. Methods According to the data, the diagnostic criteria of Alternobaric vertigo were established. Gradational simulated saturation diving at 65 m, 250 m and 480m helium-oxygen saturation -493 m (hereinafter referred to as 480 m) in 500m saturation system, questionnaire, physical examination, Nystagmus view detector and Magnetic resonance imaging were used to check divers before and after each pressure exposure. Results 1 person at 250m and 480 m after leaving the cabin each had hyposmia, and 1e person at 250m and 480 m after leaving the cabin each had knee reflex (+), but the two sides were symmetrical. 1 person at 250m and 480 m after leaving the cabin each had finger nose test (+), and 1 person at 480 m after leaving the cabin had heel-knee-tibia test (+). 1 person at 65m, 250m and 480 m after leaving the cabin each had hyperemia in the eardrum, and 1 person at 250m and 2 people at 480 m after leaving the cabin had caloric test (+), all on the right side. 2 people at 250m and 480m after leaving the cabin each were found to be impaired by electrical audiometry. All the abnormal people above were reexamined normal the next day. When the pressure changed, there were 5 person-times of dizziness (13s on average), 4 person-times of aural fullness (177.5s on average), 7 person-times of shaking sensation (337.14s on average), 5 person-times of nausea (312s on average), 3 person-times of dizziness (15min on average), 1 person-time of headache in total (20s), 6 person-times of Romberg and 2 person-times of Fukuda in total. Alternobaric vertigo was diagnosed 1 person-time and most likely 1 person-time at 65m, 2 person-times and most likely 2 person-times at 250m and 3 person-times at 480m. Conclusion Alternobaric vertigo occurs frequently in deep helium-oxygen saturated diving, which is characterized by short time, complete reversibility and no influence, but should be paid attention to.

Published in	Science Discovery (Volume 9, Issue 1)
DOI	10.11648/j.sd.20210901.15
Page(s)	27-31
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Helium-oxygen, Saturated Diving, Divers, Alternobaric Vertigo

References

[1]	方以群,王敏,陈伯华.饱和潜水及其医学保障(上)[J].人民军医2013,56(11):1278-1279,1285。
[2]	龚锦涵,罗锐仁,案印宝,等.350m模拟氦氧饱和 - 37 0m巡回潜水实验研究[J].海洋工程1991,9(3):98-103。
[3]	石中瑗,赵德铭, 崔人镜,等. 302米氦氧饱和潜水模拟实验中人体某些生理功能的观察[J].海洋工程，1983,1(14):74-83。
[4]	Lundgren CE. Alternobaric vertigo--a diving hazard[J]. Br M ed J,1965,2(5460):511-513。
[5]	Subtil J,V arandas J,G alrão F,et al. A lternobaric vertigo:prevalence in Portuguese Air Force pilots[J].Acta Otolaryngol,2007, 127(8):843-846。
[6]	金占国,徐先荣,王健,等. 歼击机飞行员变压性眩晕的调查及相关因素分析[J].解放军医学院学报2015,36(1):21-23。
[7]	肖卫兵,张民,方以群. 模拟氦氧480 m饱和-493 m巡回潜水研究中华航海医学与高气压医学杂志[J].2014,21(2):73-75,97。
[8]	Bender-Heine Adam; Dillard Zachary W; Zdilla Matthew J; Alternobaric vertigo and facial baroparesis caused by scuba diving and relieved by chewing pineapple: a case report[J]. Undersea & hyperbaric medicine: journal of the Undersea and Hyperbaric Medical Society, Inc 2017,44(6): 607-610。
[9]	Jonathan R. Mallen MD, Daniel S. Roberts MD, PhD. SCUBA Medicine for otolaryngologists: Part I. Diving into SCUBA physiology and injury prevention[J]. The Laryngoscope, 2020, 130(1):52-58。
[10]	Kitajima Naoharu, Sugita-Kitajima Akemi, Kitajima Seiji. Superior canal dehiscence syndrome associated with scuba diving[J]. Diving and hyperbaric medicine. 2017, 47(2):123-126。
[11]	Endara-Bravo Andres, Ahoubim Daniel, Mezerhane Edward, et al. Alternobaric vertigo in a patient on positive airway pressure therapy.[J]. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 2013, 9(12): 1347-8。
[12]	Ö.Tjernström. Further Studies on Alternobaric Vertigo: Posture and Passive Equilibration of Middle Ear Pressure[J]. Acta Oto-Laryngologica，2009, 78(1-6): 1-231。
[13]	Charles D. Bluestone, J. Douglas Swarts, Joseph M. Furman, et al. Persistent alternobaric vertigo at ground level[J]. The Laryngoscope, 2012, 122(4): 868-872。
[14]	Evens Rachel A, Bardsley Barry, C Manchaiah Vinaya K. Auditory complaints in scuba divers: an overview.[J]. Indian journal of otolaryngology and head and neck surgery: official publication of the Association of Otolaryngologists of India, 2012, 64(1): 71-8。
[15]	Tran Dai A. You're the flight surgeon: alternobaric vertigo.[J]. Aviation, space, and environmental medicine, 2010, 81(9): 896-7。

Cite This Article

Plain Text BibTeX RIS

APA Style

Jianguang Zhou, Changyun Liu, Yingqi Zhou. (2021). Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m. Science Discovery, 9(1), 27-31. https://doi.org/10.11648/j.sd.20210901.15

Copy | Download

ACS Style

Jianguang Zhou; Changyun Liu; Yingqi Zhou. Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m. Sci. Discov. 2021, 9(1), 27-31. doi: 10.11648/j.sd.20210901.15

Copy | Download

AMA Style

Jianguang Zhou, Changyun Liu, Yingqi Zhou. Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m. Sci Discov. 2021;9(1):27-31. doi: 10.11648/j.sd.20210901.15

Copy | Download

@article{10.11648/j.sd.20210901.15,
  author = {Jianguang Zhou and Changyun Liu and Yingqi Zhou},
  title = {Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m},
  journal = {Science Discovery},
  volume = {9},
  number = {1},
  pages = {27-31},
  doi = {10.11648/j.sd.20210901.15},
  url = {https://doi.org/10.11648/j.sd.20210901.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sd.20210901.15},
  abstract = {Objective To provide medical support for deep helium-oxygen saturation diving. Methods According to the data, the diagnostic criteria of Alternobaric vertigo were established. Gradational simulated saturation diving at 65 m, 250 m and 480m helium-oxygen saturation -493 m (hereinafter referred to as 480 m) in 500m saturation system, questionnaire, physical examination, Nystagmus view detector and Magnetic resonance imaging were used to check divers before and after each pressure exposure. Results 1 person at 250m and 480 m after leaving the cabin each had hyposmia, and 1e person at 250m and 480 m after leaving the cabin each had knee reflex (+), but the two sides were symmetrical. 1 person at 250m and 480 m after leaving the cabin each had finger nose test (+), and 1 person at 480 m after leaving the cabin had heel-knee-tibia test (+). 1 person at 65m, 250m and 480 m after leaving the cabin each had hyperemia in the eardrum, and 1 person at 250m and 2 people at 480 m after leaving the cabin had caloric test (+), all on the right side. 2 people at 250m and 480m after leaving the cabin each were found to be impaired by electrical audiometry. All the abnormal people above were reexamined normal the next day. When the pressure changed, there were 5 person-times of dizziness (13s on average), 4 person-times of aural fullness (177.5s on average), 7 person-times of shaking sensation (337.14s on average), 5 person-times of nausea (312s on average), 3 person-times of dizziness (15min on average), 1 person-time of headache in total (20s), 6 person-times of Romberg and 2 person-times of Fukuda in total. Alternobaric vertigo was diagnosed 1 person-time and most likely 1 person-time at 65m, 2 person-times and most likely 2 person-times at 250m and 3 person-times at 480m. Conclusion Alternobaric vertigo occurs frequently in deep helium-oxygen saturated diving, which is characterized by short time, complete reversibility and no influence, but should be paid attention to.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m
AU  - Jianguang Zhou
AU  - Changyun Liu
AU  - Yingqi Zhou
Y1  - 2021/03/12
PY  - 2021
N1  - https://doi.org/10.11648/j.sd.20210901.15
DO  - 10.11648/j.sd.20210901.15
T2  - Science Discovery
JF  - Science Discovery
JO  - Science Discovery
SP  - 27
EP  - 31
PB  - Science Publishing Group
SN  - 2331-0650
UR  - https://doi.org/10.11648/j.sd.20210901.15
AB  - Objective To provide medical support for deep helium-oxygen saturation diving. Methods According to the data, the diagnostic criteria of Alternobaric vertigo were established. Gradational simulated saturation diving at 65 m, 250 m and 480m helium-oxygen saturation -493 m (hereinafter referred to as 480 m) in 500m saturation system, questionnaire, physical examination, Nystagmus view detector and Magnetic resonance imaging were used to check divers before and after each pressure exposure. Results 1 person at 250m and 480 m after leaving the cabin each had hyposmia, and 1e person at 250m and 480 m after leaving the cabin each had knee reflex (+), but the two sides were symmetrical. 1 person at 250m and 480 m after leaving the cabin each had finger nose test (+), and 1 person at 480 m after leaving the cabin had heel-knee-tibia test (+). 1 person at 65m, 250m and 480 m after leaving the cabin each had hyperemia in the eardrum, and 1 person at 250m and 2 people at 480 m after leaving the cabin had caloric test (+), all on the right side. 2 people at 250m and 480m after leaving the cabin each were found to be impaired by electrical audiometry. All the abnormal people above were reexamined normal the next day. When the pressure changed, there were 5 person-times of dizziness (13s on average), 4 person-times of aural fullness (177.5s on average), 7 person-times of shaking sensation (337.14s on average), 5 person-times of nausea (312s on average), 3 person-times of dizziness (15min on average), 1 person-time of headache in total (20s), 6 person-times of Romberg and 2 person-times of Fukuda in total. Alternobaric vertigo was diagnosed 1 person-time and most likely 1 person-time at 65m, 2 person-times and most likely 2 person-times at 250m and 3 person-times at 480m. Conclusion Alternobaric vertigo occurs frequently in deep helium-oxygen saturated diving, which is characterized by short time, complete reversibility and no influence, but should be paid attention to.
VL  - 9
IS  - 1
ER  -

Copy | Download

Author Information

Jianguang Zhou

Naval Center for Specialty Medicine, Shanghai, China
Changyun Liu

Hongkou District of Changhai Hospital Affiliated to Naval Medical University, Shanghai, China
Yingqi Zhou

Naval Center for Specialty Medicine, Shanghai, China

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Jianguang Zhou, Changyun Liu, Yingqi Zhou. (2021). Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m. Science Discovery, 9(1), 27-31. https://doi.org/10.11648/j.sd.20210901.15

Copy | Download

ACS Style

Jianguang Zhou; Changyun Liu; Yingqi Zhou. Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m. Sci. Discov. 2021, 9(1), 27-31. doi: 10.11648/j.sd.20210901.15

Copy | Download

AMA Style

Jianguang Zhou, Changyun Liu, Yingqi Zhou. Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m. Sci Discov. 2021;9(1):27-31. doi: 10.11648/j.sd.20210901.15

Copy | Download

@article{10.11648/j.sd.20210901.15,
  author = {Jianguang Zhou and Changyun Liu and Yingqi Zhou},
  title = {Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m},
  journal = {Science Discovery},
  volume = {9},
  number = {1},
  pages = {27-31},
  doi = {10.11648/j.sd.20210901.15},
  url = {https://doi.org/10.11648/j.sd.20210901.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sd.20210901.15},
  abstract = {Objective To provide medical support for deep helium-oxygen saturation diving. Methods According to the data, the diagnostic criteria of Alternobaric vertigo were established. Gradational simulated saturation diving at 65 m, 250 m and 480m helium-oxygen saturation -493 m (hereinafter referred to as 480 m) in 500m saturation system, questionnaire, physical examination, Nystagmus view detector and Magnetic resonance imaging were used to check divers before and after each pressure exposure. Results 1 person at 250m and 480 m after leaving the cabin each had hyposmia, and 1e person at 250m and 480 m after leaving the cabin each had knee reflex (+), but the two sides were symmetrical. 1 person at 250m and 480 m after leaving the cabin each had finger nose test (+), and 1 person at 480 m after leaving the cabin had heel-knee-tibia test (+). 1 person at 65m, 250m and 480 m after leaving the cabin each had hyperemia in the eardrum, and 1 person at 250m and 2 people at 480 m after leaving the cabin had caloric test (+), all on the right side. 2 people at 250m and 480m after leaving the cabin each were found to be impaired by electrical audiometry. All the abnormal people above were reexamined normal the next day. When the pressure changed, there were 5 person-times of dizziness (13s on average), 4 person-times of aural fullness (177.5s on average), 7 person-times of shaking sensation (337.14s on average), 5 person-times of nausea (312s on average), 3 person-times of dizziness (15min on average), 1 person-time of headache in total (20s), 6 person-times of Romberg and 2 person-times of Fukuda in total. Alternobaric vertigo was diagnosed 1 person-time and most likely 1 person-time at 65m, 2 person-times and most likely 2 person-times at 250m and 3 person-times at 480m. Conclusion Alternobaric vertigo occurs frequently in deep helium-oxygen saturated diving, which is characterized by short time, complete reversibility and no influence, but should be paid attention to.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Investigation on Alternobaric Vertigo of Gradational Simulated Saturation Diving with the Deepest Saturation of 480m to -493m
AU  - Jianguang Zhou
AU  - Changyun Liu
AU  - Yingqi Zhou
Y1  - 2021/03/12
PY  - 2021
N1  - https://doi.org/10.11648/j.sd.20210901.15
DO  - 10.11648/j.sd.20210901.15
T2  - Science Discovery
JF  - Science Discovery
JO  - Science Discovery
SP  - 27
EP  - 31
PB  - Science Publishing Group
SN  - 2331-0650
UR  - https://doi.org/10.11648/j.sd.20210901.15
AB  - Objective To provide medical support for deep helium-oxygen saturation diving. Methods According to the data, the diagnostic criteria of Alternobaric vertigo were established. Gradational simulated saturation diving at 65 m, 250 m and 480m helium-oxygen saturation -493 m (hereinafter referred to as 480 m) in 500m saturation system, questionnaire, physical examination, Nystagmus view detector and Magnetic resonance imaging were used to check divers before and after each pressure exposure. Results 1 person at 250m and 480 m after leaving the cabin each had hyposmia, and 1e person at 250m and 480 m after leaving the cabin each had knee reflex (+), but the two sides were symmetrical. 1 person at 250m and 480 m after leaving the cabin each had finger nose test (+), and 1 person at 480 m after leaving the cabin had heel-knee-tibia test (+). 1 person at 65m, 250m and 480 m after leaving the cabin each had hyperemia in the eardrum, and 1 person at 250m and 2 people at 480 m after leaving the cabin had caloric test (+), all on the right side. 2 people at 250m and 480m after leaving the cabin each were found to be impaired by electrical audiometry. All the abnormal people above were reexamined normal the next day. When the pressure changed, there were 5 person-times of dizziness (13s on average), 4 person-times of aural fullness (177.5s on average), 7 person-times of shaking sensation (337.14s on average), 5 person-times of nausea (312s on average), 3 person-times of dizziness (15min on average), 1 person-time of headache in total (20s), 6 person-times of Romberg and 2 person-times of Fukuda in total. Alternobaric vertigo was diagnosed 1 person-time and most likely 1 person-time at 65m, 2 person-times and most likely 2 person-times at 250m and 3 person-times at 480m. Conclusion Alternobaric vertigo occurs frequently in deep helium-oxygen saturated diving, which is characterized by short time, complete reversibility and no influence, but should be paid attention to.
VL  - 9
IS  - 1
ER  -

Copy | Download