Decompression sickness (DCS) refers to the clinical manifestations caused by the formation of bubbles of an inert gas in
the tissues. It is associated with changes in environmental pressure during diving, and injuries to the central nervous system in the disease are not uncommon. We present a case of severe thoracic spinal cord injury in DCS in a diver.
We highlight the typical aspects of DCS in the case for easy recognition by non-specialist physicians. Prevention and prompt initiation of recompression therapy are the cornerstones of DCS management.