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Air embolism is a serious problem that may result from trauma or surgery to the head or neck, IV lines, diagnostic procedures requiring injections, or hemodialysis. [1] Air embolism may also result from barotrauma complicating underwater diving, [2] mechanical ventilation, [3] and cardiopulmonary resuscitation. [4]
We present a patient in whom barotrauma from a party game may have caused an air embolus to the CNS with predominantly spinal cord manifestations.
Case report.
In February 1994, a 12-year-old girl presented to the emergency room with paraparesis. Earlier in the evening, she attended a party at which the participants attempted to cause one another to lose consciousness. This was done by hyperventilation and breathholding after a full inspiration whereupon another child would externally compress the chest wall as forcibly as possible. This was done to the patient and she did lose consciousness.
Upon awakening, she experienced a tingling sensation throughout all portions of her …
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