Background: Magnetic resonanse imaging (MRI) frequently reveals asympt
omatic cerebral infarctions in the general population. Hypothesis:The
central nervous system (CNS) of divers is affected by a hyperbaric env
iroment even if they are asymptomatic. Methods: We examined 25 uniform
ed service divers by MRI and compared them with normal controls. Resul
ts: Of 25 divers, 9 had CNS lesions vs. 2 of 25 controls (p = 0.02). T
here was a significant relationship between the CNS lesions, age, and
smoking. Conclusion: The divers had a risk of accumulating CNS lesions
. These results suggested that divers should undergo periodic medical
evaluations and MRI brain scanning.