Abstract

Extravascular Hydrophobic Surfaces, Fat Droplets, and the Connection With Decompression Illness: Spinal, Joint Pain, and Dysbaric Osteonecrosis.

Highlights

  • Specialty section: This article was submitted to Integrative Physiology, a section of the journal Frontiers in Physiology

  • It is known that nanobubbles form spontaneously when a smooth hydrophobic surface is submerged in water containing dissolved gas

  • We have shown that these nanobubbles are the gas micronuclei underlying decompression bubbles and Decompression illness (DCI) (Arieli, 2017)

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Summary

SPINAL CORD DECOMPRESSION ILLNESS

Hills (1993) demonstrated large numbers of perivascular, oligolamellar phospholipid bodies in the white matter of the spinal cord These phospholipids and hydrophobic proteins had a surface tension similar to that of lung surfactants. Surfactant phospholipids and proteolipids are released from the myelin as bubbles evolve after decompression, which could point to myelin as the possible origin of the bubbles (Hills, 1994). These two sources of gas micronuclei could be responsible for the autochthonous bubbles in the white matter of the spinal cord (Francis et al, 1990), and for the bubbles within the myelin sheath (Sykes and Yaffe, 1985)

DYSBARIC OSTEONECROSIS
Findings
JOINT PAIN
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