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Oxy-helium treatment for refractory neurological decompression sickness: a case report
I Goldenberg1, A Shupak, O Shoshani
1Israel Naval Medical Institute, Haifa.
Aviation, Space, and Environmental Medicine
|January 1, 1996
Summary
This case study highlights the successful treatment of neurological decompression sickness using oxy-helium therapy after standard oxygen treatments failed. The patient experienced significant recovery of motor and sensory functions, including urinary control.
Area of Science:
- Neurology
- Hyperbaric Medicine
- Diving Medicine
Background:
- Neurological decompression sickness (NDCS) can cause severe, persistent symptoms.
- Standard hyperbaric oxygen therapy (HBOT) is the primary treatment for NDCS.
- Limited data exists on alternative therapies for refractory NDCS.
Observation:
- A 49-year-old male presented with paraparesis and urinary incontinence post-dive.
- Initial treatment with standard USN Table 6 was ineffective.
- Symptoms significantly improved after treatment with oxy-helium (O2-He) Table CX-30.
Findings:
- Urodynamic and electrophysiological tests revealed an upper motor neuron lesion and spinal cord lesions.
- Oxy-helium therapy led to marked improvement in gait, sensory, and motor function.
- Additional hyperbaric oxygenation sessions resulted in near-complete recovery, including urinary control.
Implications:
- This case supports the potential value of oxy-helium therapy for neurological decompression sickness refractory to standard HBOT.
- Further research is warranted to establish the efficacy of O2-He in treating NDCS.
- Findings contribute to understanding treatment options for diving-related neurological injuries.