In response to Dr. Fitz-Clarke's question, I am aware of several divers who have blacked out from vertigo at depth. In several cases breaking the eardrums can precipitate a deep blackout.
Rudi himself blacked out at 50m during the descent after breaking his eardrums. A scuba diver here near Vancouver blacked out during an uncontrolled, overweight descent to 60m where she broke her eardrums on the descent (she died as well, but her buddy landed beside her and she was unconscious upon landing). Stefano Makula blacked out near 100m during a sled dive shortly after passing 90m. He was rescued by the safety divers and survived. Although loss of consciousness is normally precipitated by brain energy failure, I think in most of these cases there is absolutely no sign of systemic hypoxia.
Rudi himself blacked out at 50m during the descent after breaking his eardrums. A scuba diver here near Vancouver blacked out during an uncontrolled, overweight descent to 60m where she broke her eardrums on the descent (she died as well, but her buddy landed beside her and she was unconscious upon landing). Stefano Makula blacked out near 100m during a sled dive shortly after passing 90m. He was rescued by the safety divers and survived. Although loss of consciousness is normally precipitated by brain energy failure, I think in most of these cases there is absolutely no sign of systemic hypoxia.