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[Stroke therapy. Combined therapy of hyperbaric oxygenation and extra- intracranial arterial bypass operation]
Insights
Hyperbaric oxygenation therapy improved chronic ischemic brain alterations in stroke patients with carotid artery occlusion. Additional recovery was observed after bypass surgery, indicating potential for improved neurological function.
Area of Science:
- Neurology
- Neurosurgery
- Hyperbaric Medicine
Background:
- Carotid artery occlusion can lead to chronic ischemic brain alterations and stroke.
- Effective treatment strategies for post-stroke recovery remain a critical area of research.
Purpose of the Study:
- To evaluate the efficacy of hyperbaric oxygenation (HO) therapy in patients with carotid artery occlusion post-stroke.
- To assess the impact of additional extra-intracranial arterial bypass surgery on neurological recovery.
Main Methods:
- Neurological and electroencephalogram (EEG)-analytical follow-up examinations were conducted on 73 patients.
- Patients received hyperbaric oxygenation therapy; 38 underwent additional bypass surgery.
- Study duration was 3.5 years post-stroke.
Main Results:
- Hyperbaric oxygenation therapy demonstrated improvement in chronic ischemic brain alterations.
- Patients who underwent bypass surgery in addition to HO therapy showed further recovery.
- EEG-analytical data supported the observed neurological improvements.
Conclusions:
- Hyperbaric oxygenation therapy is a viable treatment for improving chronic ischemic brain changes after stroke.
- Extra-intracranial arterial bypass surgery can facilitate additional neurological recovery in select patients.
- Combined HO therapy and bypass surgery may offer enhanced outcomes for carotid artery occlusion patients.
Abstract:
Neurological and EEG-analytical follow-up examinations in 73 patients with carotid artery occlusion were done for a period of 3 1/2 years after completed stroke. All patients were treated by hyperbaric oxygenation (HO), in 38 cases additionally bypass surgery was performed. Our findings indicate that chronic ischemic alterations of the brain can be improved by HO-therapy and additional recovery can take place after subsequent extra-intracranial arterial bypass operation.