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Hyperbaric oxygen therapy adjunctive to mild hypertensive hypervolemia for symptomatic vasospasm
1Department of Hyperbaric Medicine, School of Medicine, University of Occupational and Environmental Health, Fukuoka.
Neurologia Medico-Chirurgica
|February 1, 1993
Summary
Hyperbaric oxygen (HBO) therapy aids recovery after aneurysm surgery by preventing cerebral infarction. This adjunctive treatment shows promise for patients experiencing symptomatic vasospasm.
Area of Science:
- Neurology
- Neurosurgery
- Hyperbaric Medicine
Background:
- Symptomatic vasospasm is a significant complication following acute aneurysm surgery.
- Cerebral infarction due to vasospasm negatively impacts patient outcomes.
- Hyperbaric oxygen (HBO) therapy is explored as an adjunct treatment.
Observation:
- A retrospective study evaluated 43 patients with symptomatic vasospasm post-aneurysm surgery.
- Patients received either HBO therapy with mild hypertensive hypervolemia or mild hypertensive hypervolemia alone.
- Neurological and electroencephalographic improvements were observed during HBO exposure.
Findings:
- HBO therapy, when used adjunctively, reduced the incidence of cerebral infarcts.
- Patients receiving HBO therapy showed a higher rate of good outcomes (80% among responders) compared to controls.
- No complications were associated with HBO therapy.
Implications:
- Adjunctive hyperbaric oxygen therapy appears beneficial in preventing cerebral infarction in patients with symptomatic vasospasm.
- HBO therapy may improve neurological recovery and functional outcomes after aneurysm surgery.
- Further prospective studies are warranted to confirm the efficacy and safety of HBO therapy in this context.